Strategies in Trauma and Limb Reconstruction

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VOLUME 13 , ISSUE 1 ( April, 2018 ) > List of Articles


Bridging hard callus at 48 days in an open femoral shaft fracture with segmental defect treated with a first-stage Masquelet technique: I wasn\'t expecting that

Andrew James Hotchen, Lynne V. Barr, Matija Krkovic

Keywords : Masquelet procedure, Traumatic brain injury, Segmental defect

Citation Information : Hotchen AJ, Barr LV, Krkovic M. Bridging hard callus at 48 days in an open femoral shaft fracture with segmental defect treated with a first-stage Masquelet technique: I wasn\'t expecting that. 2018; 13 (1):57-60.

DOI: 10.1007/s11751-017-0300-z

License: CC BY-NC-SA 4.0

Published Online: 30-04-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


The Masquelet technique is a strategy for management of segmental bone defects. It is a two-stage procedure that involves inducing a synovial-like membrane that can be used for a bone graft. Segmental bone defects can occur following trauma and can accompany traumatic brain injury. There is a well-documented, albeit debated, association between traumatic brain injury and increased rate of new bone formation. Here, we present a case of unexpected callus formation in a segmental femoral fracture. The patient had a traumatic brain injury and was treated with the first stage of the Masquelet technique. Owing to the amount of large callus, a second stage of the Masquelet was not required. The patient recovered well from the injury and at 16-week follow-up was able to partially weight bear. A case similar to this has not previously been reported within the literature.

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