Masquelet–Ilizarov technique for the management of bone loss post debridement of infected tibial nonunion View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2022-06-30

AUTHORS

Abdullah Khaled, Osama El-Gebaly, Mahmoud El-Rosasy

ABSTRACT

PurposeMasquelet and Ilizarov techniques have their advantages and shortcomings in the reconstruction of bone defects. The aim of this study was to evaluate the effectiveness of the combination of both techniques for the management of infected tibial nonunion to combine the advantages of both techniques with avoidance of shortcomings of both of them.Patients and methodsA prospective single-centre study was performed during the period from 2012 to 2019. Patients with the infected nonunion of the tibia with bone defect were included. Patients with pathological fractures or non-infected bone loss were excluded. Management protocol for all patients consisted of two stages. The first stage was Masquelet induced membrane technique and the second stage was Ilizarov bone transport. The results were assessed based on both objective (clinical and radiographic evaluation) and subjective criteria (limb function and patient satisfaction).ResultsThirty-two patients were included in this study. The mean size of the defect was 6 cm. Ilizarov bone transport was done through the induced membrane chamber in all cases with an average follow-up of 28 months. Successful reconstruction without recurrence of infection was achieved in 30 cases (94%). No other bone or soft tissue procedure was needed with satisfactory functional outcome in 27 out of 30 cases (90%). Three cases had unsatisfactory results due to leg length discrepancy, joint stiffness, and persistent pain.ConclusionsMasquelet–Ilizarov technique can be used for the management of infected nonunion tibia with high satisfactory results without the need for complex soft tissue procedures. More... »

PAGES

1937-1944

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00264-022-05494-y

DOI

http://dx.doi.org/10.1007/s00264-022-05494-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1149109984

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/35773530


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Debridement", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "External Fixators", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Fracture Healing", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Ilizarov Technique", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Prospective Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Retrospective Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Tibia", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Tibial Fractures", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Treatment Outcome", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Department of Orthopedic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt", 
          "id": "http://www.grid.ac/institutes/grid.412258.8", 
          "name": [
            "Department of Orthopedic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Khaled", 
        "givenName": "Abdullah", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Orthopedic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt", 
          "id": "http://www.grid.ac/institutes/grid.412258.8", 
          "name": [
            "Department of Orthopedic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt"
          ], 
          "type": "Organization"
        }, 
        "familyName": "El-Gebaly", 
        "givenName": "Osama", 
        "id": "sg:person.07577767345.45", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.07577767345.45"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Orthopedic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt", 
          "id": "http://www.grid.ac/institutes/grid.412258.8", 
          "name": [
            "Department of Orthopedic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt"
          ], 
          "type": "Organization"
        }, 
        "familyName": "El-Rosasy", 
        "givenName": "Mahmoud", 
        "id": "sg:person.010146465671.35", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010146465671.35"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1007/s00590-014-1576-z", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038896547", 
          "https://doi.org/10.1007/s00590-014-1576-z"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11751-010-0085-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030671698", 
          "https://doi.org/10.1007/s11751-010-0085-9"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11751-015-0221-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046847000", 
          "https://doi.org/10.1007/s11751-015-0221-7"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2022-06-30", 
    "datePublishedReg": "2022-06-30", 
    "description": "Abstract\u00a0PurposeMasquelet and Ilizarov techniques have their advantages and shortcomings in the reconstruction of bone defects. The aim of this study was to evaluate the effectiveness of the combination of both techniques for the management of infected tibial nonunion to combine the advantages of both techniques with avoidance of shortcomings of both of them.Patients and methodsA prospective single-centre study was performed during the period from 2012 to 2019. Patients with the infected nonunion of the tibia with bone defect were included. Patients with pathological fractures or non-infected bone loss were excluded. Management protocol for all patients consisted of two stages. The first stage was Masquelet induced membrane technique and the second stage was Ilizarov bone transport. The results were assessed based on both objective (clinical and radiographic evaluation) and subjective criteria (limb function and patient satisfaction).ResultsThirty-two patients were included in this study. The mean size of the defect was 6\u00a0cm. Ilizarov bone transport was done through the induced membrane chamber in all cases with an average follow-up of 28\u00a0months. Successful reconstruction without recurrence of infection was achieved in 30 cases (94%). No other bone or soft tissue procedure was needed with satisfactory functional outcome in 27 out of 30 cases (90%). Three cases had unsatisfactory results due to leg length discrepancy, joint stiffness, and persistent pain.ConclusionsMasquelet\u2013Ilizarov technique can be used for the management of infected nonunion tibia with high satisfactory results without the need for complex soft tissue procedures.", 
    "genre": "article", 
    "id": "sg:pub.10.1007/s00264-022-05494-y", 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1086603", 
        "issn": [
          "0341-2695", 
          "1432-5195"
        ], 
        "name": "International Orthopaedics", 
        "publisher": "Springer Nature", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "9", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "46"
      }
    ], 
    "keywords": [
      "infected tibial nonunion", 
      "Ilizarov bone transport", 
      "soft tissue procedures", 
      "tibial nonunion", 
      "Ilizarov technique", 
      "tissue procedures", 
      "bone transport", 
      "prospective single-center study", 
      "infected nonunion tibia", 
      "single-center study", 
      "ResultsThirty-two patients", 
      "recurrence of infection", 
      "satisfactory functional outcome", 
      "leg length discrepancy", 
      "bone defects", 
      "pathological fractures", 
      "persistent pain", 
      "infected nonunion", 
      "bone loss", 
      "functional outcome", 
      "length discrepancy", 
      "patients", 
      "nonunion", 
      "higher satisfactory results", 
      "joint stiffness", 
      "management protocol", 
      "tibia", 
      "successful reconstruction", 
      "unsatisfactory results", 
      "debridement", 
      "pain", 
      "recurrence", 
      "management", 
      "cases", 
      "infection", 
      "Masquelet", 
      "months", 
      "study", 
      "outcomes", 
      "defects", 
      "bone", 
      "subjective criteria", 
      "membrane chambers", 
      "fractures", 
      "mean size", 
      "procedure", 
      "stage", 
      "aim", 
      "satisfactory results", 
      "reconstruction", 
      "period", 
      "criteria", 
      "protocol", 
      "membrane technique", 
      "results", 
      "loss", 
      "avoidance", 
      "need", 
      "technique", 
      "combination", 
      "effectiveness", 
      "discrepancy", 
      "second stage", 
      "stiffness", 
      "chamber", 
      "transport", 
      "first stage", 
      "Abstract", 
      "advantages", 
      "size", 
      "shortcomings"
    ], 
    "name": "Masquelet\u2013Ilizarov technique for the management of bone loss post debridement of infected tibial nonunion", 
    "pagination": "1937-1944", 
    "productId": [
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1149109984"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s00264-022-05494-y"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "35773530"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s00264-022-05494-y", 
      "https://app.dimensions.ai/details/publication/pub.1149109984"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2022-09-02T16:07", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-springernature-scigraph/baseset/20220902/entities/gbq_results/article/article_932.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://doi.org/10.1007/s00264-022-05494-y"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00264-022-05494-y'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00264-022-05494-y'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00264-022-05494-y'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00264-022-05494-y'


 

This table displays all metadata directly associated to this object as RDF triples.

197 TRIPLES      21 PREDICATES      109 URIs      98 LITERALS      17 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s00264-022-05494-y schema:about N13a4b19818f64e2f9b6f40947e4efeec
2 N2397ee4663dc415698d370bda9eb693b
3 N574a8548b47a449fa4af8f057becb581
4 N79350f74889447da824d0346bc786da4
5 N858f952b1cc042b9b0ea36fe97f4a6c5
6 N9cf3c372b25547f7b30b7c7f09e338d6
7 Nba203cd160cf464b9b2e34d1f8ee0478
8 Nca57912278ba46ac85e619cd94bb9827
9 Ncb1ca76588824a63bdb666eb24145638
10 Ncfba5cafdc62492c910d6d6a534dfe36
11 anzsrc-for:11
12 anzsrc-for:1103
13 schema:author N50c3a7a87ef34a7e937424a31a36c8c5
14 schema:citation sg:pub.10.1007/s00590-014-1576-z
15 sg:pub.10.1007/s11751-010-0085-9
16 sg:pub.10.1007/s11751-015-0221-7
17 schema:datePublished 2022-06-30
18 schema:datePublishedReg 2022-06-30
19 schema:description Abstract PurposeMasquelet and Ilizarov techniques have their advantages and shortcomings in the reconstruction of bone defects. The aim of this study was to evaluate the effectiveness of the combination of both techniques for the management of infected tibial nonunion to combine the advantages of both techniques with avoidance of shortcomings of both of them.Patients and methodsA prospective single-centre study was performed during the period from 2012 to 2019. Patients with the infected nonunion of the tibia with bone defect were included. Patients with pathological fractures or non-infected bone loss were excluded. Management protocol for all patients consisted of two stages. The first stage was Masquelet induced membrane technique and the second stage was Ilizarov bone transport. The results were assessed based on both objective (clinical and radiographic evaluation) and subjective criteria (limb function and patient satisfaction).ResultsThirty-two patients were included in this study. The mean size of the defect was 6 cm. Ilizarov bone transport was done through the induced membrane chamber in all cases with an average follow-up of 28 months. Successful reconstruction without recurrence of infection was achieved in 30 cases (94%). No other bone or soft tissue procedure was needed with satisfactory functional outcome in 27 out of 30 cases (90%). Three cases had unsatisfactory results due to leg length discrepancy, joint stiffness, and persistent pain.ConclusionsMasquelet–Ilizarov technique can be used for the management of infected nonunion tibia with high satisfactory results without the need for complex soft tissue procedures.
20 schema:genre article
21 schema:isAccessibleForFree true
22 schema:isPartOf N0e95a25efb6b4e12ba4766cef73ff59e
23 N363fedf13445483a817cea32e50870cf
24 sg:journal.1086603
25 schema:keywords Abstract
26 Ilizarov bone transport
27 Ilizarov technique
28 Masquelet
29 ResultsThirty-two patients
30 advantages
31 aim
32 avoidance
33 bone
34 bone defects
35 bone loss
36 bone transport
37 cases
38 chamber
39 combination
40 criteria
41 debridement
42 defects
43 discrepancy
44 effectiveness
45 first stage
46 fractures
47 functional outcome
48 higher satisfactory results
49 infected nonunion
50 infected nonunion tibia
51 infected tibial nonunion
52 infection
53 joint stiffness
54 leg length discrepancy
55 length discrepancy
56 loss
57 management
58 management protocol
59 mean size
60 membrane chambers
61 membrane technique
62 months
63 need
64 nonunion
65 outcomes
66 pain
67 pathological fractures
68 patients
69 period
70 persistent pain
71 procedure
72 prospective single-center study
73 protocol
74 reconstruction
75 recurrence
76 recurrence of infection
77 results
78 satisfactory functional outcome
79 satisfactory results
80 second stage
81 shortcomings
82 single-center study
83 size
84 soft tissue procedures
85 stage
86 stiffness
87 study
88 subjective criteria
89 successful reconstruction
90 technique
91 tibia
92 tibial nonunion
93 tissue procedures
94 transport
95 unsatisfactory results
96 schema:name Masquelet–Ilizarov technique for the management of bone loss post debridement of infected tibial nonunion
97 schema:pagination 1937-1944
98 schema:productId N0c5694c5e0f34c2eac301c7f4799d654
99 N6fef62f1619c4924a6332cfdb593a1b2
100 Nc352b3696f904a0fbf2ec9dd4f145884
101 schema:sameAs https://app.dimensions.ai/details/publication/pub.1149109984
102 https://doi.org/10.1007/s00264-022-05494-y
103 schema:sdDatePublished 2022-09-02T16:07
104 schema:sdLicense https://scigraph.springernature.com/explorer/license/
105 schema:sdPublisher N92510db9586940c1a07149765f877a8e
106 schema:url https://doi.org/10.1007/s00264-022-05494-y
107 sgo:license sg:explorer/license/
108 sgo:sdDataset articles
109 rdf:type schema:ScholarlyArticle
110 N0c5694c5e0f34c2eac301c7f4799d654 schema:name doi
111 schema:value 10.1007/s00264-022-05494-y
112 rdf:type schema:PropertyValue
113 N0e95a25efb6b4e12ba4766cef73ff59e schema:volumeNumber 46
114 rdf:type schema:PublicationVolume
115 N13a4b19818f64e2f9b6f40947e4efeec schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
116 schema:name Retrospective Studies
117 rdf:type schema:DefinedTerm
118 N2397ee4663dc415698d370bda9eb693b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
119 schema:name Debridement
120 rdf:type schema:DefinedTerm
121 N363fedf13445483a817cea32e50870cf schema:issueNumber 9
122 rdf:type schema:PublicationIssue
123 N50c3a7a87ef34a7e937424a31a36c8c5 rdf:first Ne9615ab512e24e3bb3fa92c4c9c6242d
124 rdf:rest N5472283929b4413186811dcea340da96
125 N5472283929b4413186811dcea340da96 rdf:first sg:person.07577767345.45
126 rdf:rest N7de7972440a841798e2d71014abc4873
127 N574a8548b47a449fa4af8f057becb581 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
128 schema:name Humans
129 rdf:type schema:DefinedTerm
130 N6fef62f1619c4924a6332cfdb593a1b2 schema:name dimensions_id
131 schema:value pub.1149109984
132 rdf:type schema:PropertyValue
133 N79350f74889447da824d0346bc786da4 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
134 schema:name Tibia
135 rdf:type schema:DefinedTerm
136 N7de7972440a841798e2d71014abc4873 rdf:first sg:person.010146465671.35
137 rdf:rest rdf:nil
138 N858f952b1cc042b9b0ea36fe97f4a6c5 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
139 schema:name Treatment Outcome
140 rdf:type schema:DefinedTerm
141 N92510db9586940c1a07149765f877a8e schema:name Springer Nature - SN SciGraph project
142 rdf:type schema:Organization
143 N9cf3c372b25547f7b30b7c7f09e338d6 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
144 schema:name Prospective Studies
145 rdf:type schema:DefinedTerm
146 Nba203cd160cf464b9b2e34d1f8ee0478 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
147 schema:name Fracture Healing
148 rdf:type schema:DefinedTerm
149 Nc352b3696f904a0fbf2ec9dd4f145884 schema:name pubmed_id
150 schema:value 35773530
151 rdf:type schema:PropertyValue
152 Nca57912278ba46ac85e619cd94bb9827 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
153 schema:name Tibial Fractures
154 rdf:type schema:DefinedTerm
155 Ncb1ca76588824a63bdb666eb24145638 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
156 schema:name External Fixators
157 rdf:type schema:DefinedTerm
158 Ncfba5cafdc62492c910d6d6a534dfe36 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
159 schema:name Ilizarov Technique
160 rdf:type schema:DefinedTerm
161 Ne9615ab512e24e3bb3fa92c4c9c6242d schema:affiliation grid-institutes:grid.412258.8
162 schema:familyName Khaled
163 schema:givenName Abdullah
164 rdf:type schema:Person
165 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
166 schema:name Medical and Health Sciences
167 rdf:type schema:DefinedTerm
168 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
169 schema:name Clinical Sciences
170 rdf:type schema:DefinedTerm
171 sg:journal.1086603 schema:issn 0341-2695
172 1432-5195
173 schema:name International Orthopaedics
174 schema:publisher Springer Nature
175 rdf:type schema:Periodical
176 sg:person.010146465671.35 schema:affiliation grid-institutes:grid.412258.8
177 schema:familyName El-Rosasy
178 schema:givenName Mahmoud
179 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010146465671.35
180 rdf:type schema:Person
181 sg:person.07577767345.45 schema:affiliation grid-institutes:grid.412258.8
182 schema:familyName El-Gebaly
183 schema:givenName Osama
184 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.07577767345.45
185 rdf:type schema:Person
186 sg:pub.10.1007/s00590-014-1576-z schema:sameAs https://app.dimensions.ai/details/publication/pub.1038896547
187 https://doi.org/10.1007/s00590-014-1576-z
188 rdf:type schema:CreativeWork
189 sg:pub.10.1007/s11751-010-0085-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030671698
190 https://doi.org/10.1007/s11751-010-0085-9
191 rdf:type schema:CreativeWork
192 sg:pub.10.1007/s11751-015-0221-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046847000
193 https://doi.org/10.1007/s11751-015-0221-7
194 rdf:type schema:CreativeWork
195 grid-institutes:grid.412258.8 schema:alternateName Department of Orthopedic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt
196 schema:name Department of Orthopedic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt
197 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...