Treating post-traumatic osteomyelitis of a metacarpal fracture with the 'mini-masquelet' procedure

Lydian Huisman; Eelke Bosma

doi:10.1016/j.tcr.2023.100945

Treating post-traumatic osteomyelitis of a metacarpal fracture with the 'mini-masquelet' procedure

Trauma Case Rep. 2023 Sep 25:48:100945. doi: 10.1016/j.tcr.2023.100945. eCollection 2023 Dec.

Authors

Lydian Huisman¹, Eelke Bosma²

Affiliations

¹ , Dept. of Surgery, University Medical Center Groningen, Hanzeplein 1, 9713GZ Groningen, the Netherlands.
² Dept. of Surgery, Martini Ziekenhuis Groningen, Van Swietenplein 1, 9728NT Groningen, the Netherlands.

Abstract

Background: Post-traumatic osteomyelitis is a challenging complication after a fracture, requiring long-term treatment to prevent loss of function. One treatment strategy is the biphasic masquelet technique, focussing on both control of the infection and bone reconstruction. This technique is mainly used to treat defects of the long bones. Very little literature exists about the masquelet procedure for treatment of defects of smaller bones. We describe a case of post-traumatic osteomyelitis after a metacarpal fracture, treated with the 'mini-masquelet' technique.

Patient case: A 23-year old woman was treated with the masquelet procedure for osteomyelitis and bone loss following a metacarpal IV fracture of her right hand. After 29 weeks, she had full range of motion of both the hand and fingers.

Conclusion: The 'mini-masquelet' technique as a strategy to treat osteomyelitis and reconstruct bone loss after a metacarpal fracture, can reduce potential loss of function and loss of quality of life. This technique appears to be widely applicable for treatment of complex hand injuries and osteomyelitis of the hand.

Keywords: Fracture; Masquelet; Metacarpus; Osteomyelitis.

Publication types

Case Reports