A 3D-printed load sharing implant achieved union of a 9-cm femoral segmental bone defect within three months using a hybrid Masquelet induction membrane technique. A case-report

Athanasios F Foukas; Argyris C Hadjimichael; Christophoros Nicolaou; Olga D Savvidou; Panayiotis J Papagelopoulos

doi:10.1016/j.tcr.2024.100978

A 3D-printed load sharing implant achieved union of a 9-cm femoral segmental bone defect within three months using a hybrid Masquelet induction membrane technique. A case-report

Trauma Case Rep. 2024 Jan 19:49:100978. doi: 10.1016/j.tcr.2024.100978. eCollection 2024 Feb.

Authors

Athanasios F Foukas¹, Argyris C Hadjimichael², Christophoros Nicolaou³, Olga D Savvidou⁴, Panayiotis J Papagelopoulos⁴

Affiliations

¹ Third Department of Orthopaedic Surgery, "KAT" General Hospital of Athens, 2, Nikis Street, 14561 Kifissia, Greece.
² Orthopaedic Department, Saint Mary's and John's Polyclinic, 2, Karditsis Street, 2045 Nicosia, Cyprus.
³ Radiology Department, Aretaeio Private Hospital, 55-57, Andrea Avraamides, Strovolos 2024, Nicosia, Cyprus.
⁴ First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, Faculty of Medicine, Attikon University Hospital, 1 Rimini Street, Chaidari, 12462 Athens, Greece.

Abstract

Case: A 30-year-old male was admitted in our hospital having an open left distal femoral fracture with 9-cm segmental bone defect and a closed proximal left tibial fracture. He was treated successfully using a Hybrid (Titanium Cage and Bone Graft) Masquelet Induction Membrane Technique (MIMT). His femoral fracture united 3-months post - operatively. The left tibia was treated initially with two locking plates. Following infection, a 3-cm tibial bone gap was treated with external fixation and conventional MIMT. The tibial fracture united 12-months post- operatively.

Conclusion: The Hybrid MIMT achieved a successful healing outcome in this challenging case.

Keywords: 3D-printed; Bone defect; Customized; Masquelet; Union.

Publication types

Case Reports