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The Archives of Bone and Joint Surgery، جلد ۱۱، شماره ۵، صفحات ۳۴۸-۳۵۵
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عنوان انگلیسی Is Masquelet Technique A Successful Viable Treatment In Reconstructing Large Tumor Bone Gaps in Adolescent and Adult?
چکیده انگلیسی مقاله Objectives: The reconstruction of large bony defect caused by tumor resection can be managed by different technique like bone graft, Masquelet technique, mega-prosthesis etc. Literature lacks studies discussing Masquelet technique in tumor cases especially pertaining to infected tumor in adults. We aimed to determine 1) How often and how fast is the bone healing achieved after resection greater than 10 cm bone in tumour patient’s using Masquelet technique?, 2) Whether Masquelet technique can achieve optimum outcomes in adult infected cases too?Methods: We reviewed 154 patients of benign & malignant tumour managed by us between 2013 and 2019. Patients belonging to all the age group with infected tumor/diaphysial tumor/periarticular tumor, where single stage surgery or mega-prosthesis is not a viable option and were treated with Masquelet technique for reconstructing a bone defect of at least 10 cm were included in our study. We evaluated outcomes of eight patients for four parameters i.e. bony :union:, healing index, number of re-do surgeries required and limb length discrepancy.Results: Mean age of our study group was 20.25 years and patients followed for mean duration of 3.36 years. Mean bone loss after tumor resection was 13.1 cm (range = 11.5 cm to 15 cm). There was no sign of recurrence of tumor in any patient at the time of last follow up. Average time required to achieve bony :union: was 23.25 months (mean healing index of 1.67 months/cm). All but one patient achieved bony :union:. Mean limb length discrepancy seen was 1.44cm. Infected cases showed low healing index with higher percentage of re-do surgeries.Conclusion: Induced membrane technique is quick, safe and reliable alternative method of reconstruction to megaprosthesis in cases with all age group where risk of failure of mega-prosthesis is high, either due to infection or shorter expected lifespan of prosthesis. However, obtaining :union: can be a difficult preposition in infected tumor cases and multiple surgeries may be required to get the desired result even after two stages. However, a comparative study with large sample size is required to further validate our results. Level of evidence: IV
کلیدواژه‌های انگلیسی مقاله Adult age, chemotherapy, Diaphysial tumour, Induced membrane technique, Infected tumor, Masquelet technique, Mega-prosthesis
نویسندگان مقاله | Amit Sharma
Lady Hardinge Medical College, Delhi, India


| Ankur Sharma
Lady Hardinge Medical College, Delhi, India


| Shekhar Tomar
Maulana Azad Medical College, Delhi, India


| Abhishek Mishra
Maulana Azad Medical College, Delhi, India


| Abhishek Kashyap
Maulana Azad Medical College, Delhi, India


| Lalit Maini
Maulana Azad Medical College, Delhi, India
نشانی اینترنتی https://abjs.mums.ac.ir/article_22247.html
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