Indication and Limitations of the Masquelet Technique and Vascularized Free Bone Graft for Femoral Segmental Bone Defects

Abstract

　The present article describes the treatment of femoral segmental bone defects at the Hand and Trauma Reconstruction Center (Juntendo University Urayasu Hospital) . A retrospective study was conducted on 8 cases of femoral segmental bone defects of over 6 cm. Six cases were less than 10 cm and reconstructed by bone grafting using the Masquelet technique. Two cases were over 10 cm and treated by bone grafting using the Masquelet technique and vascularized bone graft (VBG) method. Bone union was achieved in all cases and no complications were observed. In order to minimize the graft, it is highly recommended that bones be reconstructed through intramedullary nailing wherever possible, and for defects larger than 10 cm, hybrid treatment using the Masquelet technique and VBG is recommended.