Induced membrane technique using beta-tricalcium phosphate for reconstruction of clavicle bone defect after fracture related infection - A case report

Q4 Medicine

Trauma Case Reports Pub Date : 2024-04-03 DOI:10.1016/j.tcr.2024.101013

Kunihiko Arakawa, Yoshinobu Watanabe, Gen Sasaki, Hirotaka Matsuura, Mari Nishizawa, Akifumi Honda, Natsumi Saka, Hirotaka Kawano

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引用次数: 0

Abstract

The induced membrane technique (IMT) is among the most innovative reconstructive methods for clavicle defects after fracture-related infection (FRI). Herein, we report a case in which a clavicle bone defect after FRI was reconstructed with an autogenous cancellous bone graft mixed with β-tricalcium phosphate (β-TCP) in the second stage of the IMT. A 62-year-old male patient with left clavicle fracture underwent open reduction and internal fixation. Refracture occurred immediately after the implant was removed. The patient was diagnosed with FRI after reopen reduction and internal fixation and was then referred to our hospital. The surgery was performed using the IMT. In the second stage of the IMT, the bone defect was filled with an autogenous cancellous bone mixed with wool-type β-TCP. At 8 months after surgery, the nonunion area had fused, and the patient had no restrictions in activities of daily living. The IMT with β-TCP can be a reconstructive method for bone defects after clavicular nonunion.

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使用β-磷酸三钙诱导膜技术重建骨折相关感染后的锁骨骨缺损--病例报告

诱导膜技术（IMT）是治疗骨折相关感染（FRI）后锁骨缺损最创新的重建方法之一。在此，我们报告了一例在诱导膜技术第二阶段使用自体松质骨移植混合β-磷酸三钙（β-TCP）重建骨折相关感染后锁骨缺损的病例。一名 62 岁的左锁骨骨折男性患者接受了切开复位和内固定术。取出植入物后立即发生了骨折。再次切开复位和内固定后，患者被诊断为 FRI，随后被转诊至我院。手术使用 IMT 进行。在 IMT 的第二阶段，用自体松质骨混合羊毛型 β-TCP 填充骨缺损。术后 8 个月，未愈合区域已经融合，患者的日常生活没有受到任何限制。使用 β-TCP 的 IMT 可以作为锁骨骨不连术后骨缺损的重建方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.