Masquelet法後の大腿骨感染性偽関節に対して血管柄付き腓骨移植・ダブルプレート固定を施行した1例

抄録

　Good clinical results have been reported after the use of vascularized bone grafts, the Masquelet technique (induced membrane technique), the bone transport technique with external fixation, and other methods in reconstructive surgery for bone defects caused by major trauma. In this paper, we report a case of reconstructive surgery using a free vascularized fibular bone graft for infected pseudarthrosis after reconstruction of an open fracture of the distal femur using the Masquelet technique as primary treatment. Based on our case, the Masquelet technique using autologous bone may increase the difficulty of long bone defect reconstruction because the limited amount of autologous bone that can be extracted prevents the tight filling of major bone defects. In the treatment of severe open fractures, it is important to make a detailed reconstructive plan for bone and soft tissue in advance, and to consider whether it can be accomplished. Referrals to major trauma centers should be considered if the plan may not be feasible.