Induced Membrane Technique (Masquelet) for Bone Defects in the Distal Tibia, Foot, and Ankle: Systematic Review, Case Presentations, Tips, and Techniques

Paul Andrzejowski; Alain Masquelet; Peter V Giannoudis

doi:10.1016/j.fcl.2020.08.013

Induced Membrane Technique (Masquelet) for Bone Defects in the Distal Tibia, Foot, and Ankle: Systematic Review, Case Presentations, Tips, and Techniques

Foot Ankle Clin. 2020 Dec;25(4):537-586. doi: 10.1016/j.fcl.2020.08.013.

Authors

Paul Andrzejowski¹, Alain Masquelet², Peter V Giannoudis³

Affiliations

¹ Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, Leeds General Infirmary, Clarendon Wing, Floor D, Great George Street, Leeds LS1 3EX, UK.
² Department of Orthopaedic Surgery, Avicenne Hospital AP-HP, 123, route de Stalingrad, Bobiny 93009, France.
³ Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, Leeds General Infirmary, Clarendon Wing, Floor D, Great George Street, Leeds LS1 3EX, UK. Electronic address: pgiannoudi@aol.com.

PMID: 33543716
DOI: 10.1016/j.fcl.2020.08.013

Abstract

Bone defects to the distal tibia, foot, and ankle can be challenging to reconstruct. The induced membrane (Masquelet) technique has become an established method of repair for challenging areas of bone loss. It has been applied in acute open fractures, chronic nonunion, osteomyelitis, and gout erosion. This article presents a systematic review of distal tibia, foot, and ankle results using the Masquelet procedure, which should be considered in cases of challenging critical bone loss. Further work is needed to present large studies of the procedure on foot and ankle patients to consolidate current knowledge.

Keywords: Ankle; Defect; Foot; Hindfoot; Induced membrane; Masquelet; Reconstruction; Tibia.

Publication types

Review
Systematic Review

MeSH terms

Ankle
Bone Transplantation
Fractures, Open*
Humans
Tarsal Bones*
Tibia / diagnostic imaging
Tibia / surgery