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      Radial diaphysis infected non-union treated with combination of Masquelet technique and autologous bone grafting harvested by RIA: A case report

      case-report
      Author(s): * , ,
      Publication date (Electronic):
      Journal: Trauma Case Reports
      Publisher: Elsevier
      Keywords: RIA, Masquelet, Non-unions, Infected non-unions, Graft, Radius

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          Abstract

          We present a case of infected non-union of radial diaphysis following closed fracture and open reduction and internal fixation (ORIF) of the fracture. Treatment included combining the Masquelet technique of induced membrane and autologous bone graft using Reamer-Irrigator-Aspirator harvesting technique. At 10 months post PMMA extraction and autografting (i.e.: second stage) full union was achieved with excellent functional results.

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          Complications following autologous bone graft harvesting from the iliac crest and using the RIA: a systematic review.

          Rozalia Dimitriou, George I Mataliotakis, Antonios Angoules … (2011)
          Bone grafting is a commonly performed surgical procedure to augment bone regeneration in a variety of cases in orthopaedic and maxillofacial surgery. Autologous bone graft remains to be the 'gold standard' and the iliac crest to be the most common harvesting site. The intramedullary canal of long bones represents another potential site for large volume of autologous bone graft harvesting and is recently being used as an alternative donor site. However, harvesting of autologous bone graft is associated with morbidity and a number of complications. The aim of this systematic review was to collect and summarise the existing data on reported complications after harvesting autologous bone from the iliac crest (anterior and posterior) and the long bone intramedullary canal using the RIA device. We searched the PubMed Medline and Ovid Medline databases, from January 1990 to October 2010, to retrieve all relevant articles. A total of 92 articles (6682 patients) were included in the analysis. Overall, the complication rate following RIA was 6% (14 complications in 233 patients) and 19.37% after iliac crest bone graft harvesting (1249 complications in 6449 patients). The rate of each of the reported complications was assessed and, when the donor site was properly documented, comparison within the anterior and posterior iliac crest donor sites was performed. Although the difference of the overall morbidity rates between the two harvesting sites was not statistically significant (p=0.71); the rates of certain complications were found to significantly differ when anterior or posterior iliac crest was used. The rates of infection (p=0.016), haematoma formation (p=0.002), fracture (p=0.017), and hyperthrophic scar (p=0.017) were significantly higher when the donor site was the anterior iliac crest compared to the posterior iliac crest; whereas the rates of chronic donor site pain (p=0.004) and sensory disturbances (p=0.003) were significantly lower. The incidence of bone graft harvesting related complications can be reduced further if certain principles are followed depending on the performed harvesting methods; but overall the use of RIA device as harvesting method seems a promising alternative with a low complication rate. Copyright © 2011 Elsevier Ltd. All rights reserved.
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            The concept of induced membrane for reconstruction of long bone defects.

            Alain C Masquelet, Thierry Begue (2010)
            Clinical, experimental, and fundamental studies have shown the interest of a foreign body-induced membrane to promote the consolidation of a conventional cancellous bone autograft for reconstruction of long bone defects. The main properties of the membrane are to prevent the resorption of the graft and to secrete growth factors. The induced membrane appears as a biological chamber, which allows the conception of numerous experimental models of bone reconstruction. This concept could probably be extended to other tissue repair.
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              Bone Repair Using the Masquelet Technique.

              Alain Masquelet, Nikolaos Kanakaris, Laurent Obert … (2019)
              Article 0 comments Cited 88 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Klein Nitai
                Keltz Eran
                Keren Yaniv
                Journal
                Journal ID (nlm-ta): Trauma Case Rep
                Journal ID (iso-abbrev): Trauma Case Rep
                Title: Trauma Case Reports
                Publisher: Elsevier
                ISSN (Electronic): 2352-6440
                Publication date PMC-release: 23 February 2022
                Publication date Collection: June 2022
                Publication date (Electronic): 23 February 2022
                Volume: 39
                Electronic Location Identifier: 100621
                Affiliations
                Orthopedics Division, Rambam Hospital, Rambam Health Care Campus (RHCC), HaAliya HaShniya St 8, 3109601 Haifa, Israel
                Author notes
                [* ]Corresponding author. N_klein@ 123456rambam.health.gov.il
                Article
                Publisher Item ID: S2352-6440(22)00017-6 Publisher ID: 100621
                DOI: 10.1016/j.tcr.2022.100621
                PMC ID: 9010699
                PubMed ID: 35434241
                SO-VID: e17efd00-42e4-4447-9632-eaf70812c48e
                Copyright © © 2022 The Authors
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date accepted : 17 February 2022
                Categories
                Subject: Case Report

                Keywords: ria,masquelet,non-unions,infected non-unions,graft,radius
                Data availability:
                Keywords: ria, masquelet, non-unions, infected non-unions, graft, radius

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