Bone union with an in situ spacer after the first stage of the induced membrane technique
| Autor: | Armando Augusto de Almeida Teixeira, Mauricio Kfuri Junior, Alexander Joeris, Matheus Lemos Azi, Ricardo Britto Cotias |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
In situ
Adult Male Reoperation medicine.medical_specialty Bone Regeneration Bone healing Bone Infection 03 medical and health sciences Fractures Open 0302 clinical medicine medicine Humans Polymethyl Methacrylate Tibia Stage (cooking) Bone regeneration General Environmental Science Fracture Healing 030222 orthopedics Bone union business.industry 030208 emergency & critical care medicine Osteomyelitis Prostheses and Implants Plastic Surgery Procedures Surgery Anti-Bacterial Agents Tibial Fractures Treatment Outcome Debridement General Earth and Planetary Sciences business Induced membrane |
| Zdroj: | Injury. 48 |
| ISSN: | 1879-0267 |
| Popis: | Introduction We report a case of an infected bone defect in the tibia in which the treatment was stopped in the first stage of the induced membrane technique. The polymethylmethacrylate (PMMA) spacer, retained in the bone defect, was encapsulated by the bone regeneration. Case report A 37-year-old male patient with a 7-cm infected bone defect in the tibia was submitted to the first stage of the induced membrane technique with debridement and implantation of a PMMA spacer with antibiotics. The patient refused the second stage of the procedure and achieved bone union with the spacer in situ. There was no recurrence of infection at the 6-year follow-up. Conclusion his is the first report of a case in which bone union was achieved with the spacer in situ after the first stage of the induced membrane technique. Keeping the spacer in the bone defect could be an option in some exceptional situations. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect