Clinical Study

Masquelet Technique for Treatment of Posttraumatic Bone Defects

Table 1

Patient demographics.

Patient number/sex/age (y)Type of injuryFracture typeSoft tissue conditionIndicationBone defect, length (cm)SpacerDefinite fixationCurrent StateDuration of cementation (days)

1/M/60Fracture
distal humerus
ClosedWound contaminatedPostoperative wound
infection
2 cmGentamycin Plate and screwBone grafted and healed50

2/M/60Fracture
olecranon
Open Gustilo IIViable,
not contaminated
Bone loss2 cmVancomycin Plate and screwBone grafted and healed57

3/M/28Fracture
distal
femur
Open Gustilo IIIAGross infection, contaminated Postoperative wound infection8 cmGentamycin Plate and screwBone grafted and healed48

4/F/79Fracture left olecranonClosedInfection deep to joint, contaminatedPostoperative
wound infection
4 cmGentamycin
+ vancomycin
Plate and screwBone grafted and healed53

5/M/53Fracture
tibial plateau
ClosedDeep infection extending to knee joint, contaminatedPostoperative
wound infection
4 cmGentamycin
+ vancomycin
Plate and screwBone grafted and healed48

6/M/48Fracture
os calcis
Open Gustilo IISoft tissue viable,
not contaminated
Bone loss2 cmGentamycin Plate and screwBone grafted and healed30

7/M/61Fracture
distal femur
ClosedViable,
not contaminated
Nonunion3 cmGentamycin
+ vancomycin
Plate and screwBone grafted and healed43

8/F/27Fracture
distal
tibia
Open Gustilo IINot contaminatedBone loss2 cmGentamycin Plate and screwBone grafted and healed59

9/M/60Fracture
distal
tibia
Open Gustilo IIICMinimal contaminated Bone loss4 cmVancomycin Plate and screwBone grafted and healed49