Description
In this presentation, Peter Giannoudis addresses an audience of medical professionals, expressing gratitude to the organizers and setting the stage to discuss the Masquelet technique, specifically its effectiveness in treating bone defects. He begins by engaging the audience with questions about their experience with the technique, highlighting its varying usage in practice. He outlines the journey of the Masquelet technique's development, referencing key publications from 2000 and the importance of the induction of a biologically active membrane to enable bone-guided regeneration.
Giannoudis describes the indications for the Masquelet technique, applicable in cases such as open fractures with bone loss, close fractures with comminution, infected nonunions, and more. He emphasizes the technique's steps, starting with debridement and preparation for grafting, meticulous assessment of soft tissue integrity, and the implementation of a cement spacer for stabilization. Details are provided on how to manage the surgical environment and the importance of ensuring a healthy soft tissue envelope.
Throughout the presentation, Giannoudis shares tips and insights gathered from his experience with the technique, underlining its potential for success when performed correctly. He discusses common pitfalls and highlights the necessity of addressing any residual infection to avoid complications. In closing, he presents a summary of the key principles of the Masquelet technique, advocating for its use in treating significant bone defects, sharing success rate statistics, and urging continual improvements in surgical practices to enhance outcomes. The session concludes with an invitation for questions and further discussion on the technique.