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2023, Number 2

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Ortho-tips 2023; 19 (2)

Diaphysiary radius reconstruction in bone loss infected by Pseudomonas aeruginosa using the masquelet technique

Ambriz RG, Sánchez AR, Gutiérrez-Mendoza I, Reyes PR, Giles MÓI, Esparza MGA

Language: Spanish
References: 26
Page: 113-119
PDF size: 296.73 Kb.


ABSTRACT

Introduction: due to its anatomy, infected pseudarthrosis in the forearm is a challenge, and there are also few publications that describe the treatment of infected diaphyseal bone loss in the radius using the Masquelet technique. The objective of reporting this case is that having a bone loss of 7 cm infected with Pseudomonas aeruginosa, we eliminate the infection and based on the importance of the diamond concept through a balance between the biological environment and absolute mechanical stability, we achieve bone consolidation and complete functionality. Case presentation: male patient, 30 years old, type 2 diabetes mellitus, hypotrophic septic nonunion of the left radius, previously treated for closed fracture, presenting a month later rejection of the osteosynthesis material with skin fistula, purulent exudate and culture for Pseudomonas aeruginosa. The treatment consisted of performing the induced membrane technique with medicated polymethylmethacrylate, application of an autologous iliac crest graft plus bone marrow aspiration, eliminating the infection, achieving bone consolidation and complete function. Conclusion: faced with bone loss in a radius of 7 cm infected with Pseudomonas aeruginosa using the Masquelet technique, we eradicated the infection and through the diamond concept we achieved complete consolidation at 10 months of evolution and 100 points on the modified May wrist functional scale.


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