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Titre : | Induced Membrane Technique (Masquelet) for Bone Defects in the Distal Tibia, Foot, and Ankle: Systematic Review, Case Presentations, Tips, and Techniques (2020) |
Auteurs : | Paul Andrzejowski ; Alain Masquelet ; Peter V. Giannoudis |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 25, n°4, Décembre 2020) |
Article en page(s) : | 537-586 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Fractures du tibia ; Malformations ; Médecine physique et de réadaptation ; Pied |
Résumé : |
Preparation is the key. By ensuring a thorough work-up of the patient and targeted therapy using the diamond concept, this approach increases the chances of success.
Respect for soft tissues is paramount. Unless soft tissues are respected throughout the procedure, the chances of success are significantly diminished. Thorough and repeated debridement is essential. Where inadequate initial and subsequent debridement is not aggressively performed, persisting devitalized tissue creates high risk of infection: any procedure is doomed to failure. Success when a full approach is followed. Where all of the principles of the diamond concept are followed, and principles of Masquelet included in management, this article shows that outcomes are very favorable. Further work is needed. Numbers of focused studies for the Masquelet procedure in foot and ankle and outcomes are small: large-scale studies are needed to fully assess this. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751520301017 |