Aim: To report our experience with the Masquelet concept in a pediatric upper extremity following an open injury to the elbow.
Methods: A case report and literature review.
Results: An 11-year-old boy was transferred to our institution after a motor vehicle collision. There was a primary loss of the ulnohumeral articulation and the surrounding soft tissues as well as the ulnar nerve. Reconstruction used the Masquelet-induced membrane technique and a soft tissue flap. At the 30-month follow-up, the extremity was pain free and functional.
Conclusion: This case highlights the value of the Masquelet technique in pediatric extremity injuries, where there is a loss of a major articular segment, as well as significant soft tissue compromise.
Keywords: Masquelet technique; elbow arthrodesis; induced membrane; mangled extremity; pediatric.