Volume 20 Issue 10
Oct.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(10): 1682-1684
HUANG Jian, LI Jian, LIAN Xiao, WANG Rong. Study on the clinical effect of Masquelet technique on tibial chronic osteomyelitis and bone defect[J]. Chinese Journal of General Practice, 2022, 20(10): 1682-1684. doi: 10.16766/j.cnki.issn.1674-4152.002678
Citation: HUANG Jian, LI Jian, LIAN Xiao, WANG Rong. Study on the clinical effect of Masquelet technique on tibial chronic osteomyelitis and bone defect[J]. Chinese Journal of General Practice, 2022, 20(10): 1682-1684. doi: 10.16766/j.cnki.issn.1674-4152.002678
shu

Study on the clinical effect of Masquelet technique on tibial chronic osteomyelitis and bone defect

doi: 10.16766/j.cnki.issn.1674-4152.002678

  • Department of Orthopaedics, Affiliated Orthopaedic Hospital of Hangzhou Normal University, the Second People' s Hospital of Hangzhou, Hangzhou, Zhejiang 310015, China

Funds:

 2018PY041

  • Received Date: 2022-02-09
    Available Online: 2022-11-30
    Abstract
  •   Objective  To observe the clinical effect and safety of Masquelet technique in the treatment of tibial chronic osteomyelitis and bone defect.  Methods  Five patients with chronic osteomyelitis and bone defects in the tibia treated by Masquelet technology in the Department of Orthopaedics of our hospital from May 2018 to October 2021 were examined. They were followed up to 6 months after operation. Changes in hospital for special surgery (HSS), American orthopedic foot and ankle society (AOFAS) and the MOS item short from health survey (SF-36) scores were compared, the healing of tibial defect lesions was confirmed by imaging examination and the postoperative complications were observed.  Results  Before treatment, the HSS scores was 32-38 (35.60±2.61) points, the AOFAS score was 33-42 (38.40±3.42) points, the SF-36 score was 35-40 (38.40±2.07) points. After six menstrual reexaminations, all patients had good bone healing, the HSS score was 83-90 (85.80±2.68) points, the AOFAS score was 84-89 (86.20±2.17) points, the SF-36 score was 83-90 (85.40±2.70) points, which was significantly higher than that before treatment (t=66.893, 52.802, 57.346; all P < 0.001). Except one patient with delayed suture removal due to infection of bone incision, other patients did not have postoperative complications.  Conclusion  Masquelet technology is highly effective and safe in the treatment of large-scale bone defects caused by tibial osteomyelitis. It has positive significance for improving the lower limb motor function and quality of life of patients, and is worthy of clinical promotion.

     

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