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| http://dx.doi.org/10.1007/s00113-024-01473-7 | DOI Listing |
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Surgical nonunion treatment of large-sized defects of femur and tibia based on the diamond concept.
Bone Jt Open
January 2025
Clinic for Trauma and Reconstructive Surgery, Centre for Orthopedics, Trauma Surgery, and Paraplegiology, Heidelberg, Germany.
Aims: The aim of this study was to evaluate the radiological outcome of patients with large bone defects in the femur and tibia who were treated according to the guidelines of the diamond concept in our department (Centre for Orthopedics, Trauma Surgery, and Paraplegiology).
Methods: The following retrospective, descriptive analysis consists of patients treated in our department between January 2010 and December 2021. In total, 628 patients were registered, of whom 108 presented with a large-sized defect (≥ 5 cm).
Knowledge mapping of induced membrane technique: a scientometric study from 2004 to 2023.
J Orthop Surg Res
September 2024
Department of Orthopedics, Guangdong Second Provincial General Hospital, No.466 Xingang Zhong Road, Guangzhou, China.
Background: The induced membrane technique (IMT) is a two-step procedure used for reconstructing segmental bone defects in the limbs. The osteogenic mechanism after bone grafting using IMT remains unclear, and efforts to modify the original techniques are limited to the investigative phase. Therefore, reviewing existing knowledge and identifying hotspots and new trends in IMT is critical.
View Article and Find Full Text PDF[Modified Masquelet technique for reconstruction of critical bone defects].
Unfallchirurgie (Heidelb)
October 2024
Klinik für Unfall- und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost Halle gGmbH, Merseburger Straße 165, 06112, Halle, Deutschland.
[Modified Masquelet technique : Technique of the induced membrane in the course of time].
Unfallchirurgie (Heidelb)
October 2024
Klinik für Unfall- und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost Halle, Merseburger Straße 165, 06112, Halle (Saale), Deutschland.
The reconstruction of long bone defects as a result of primary traumatic, secondary infection or tumor-related loss of substance continues to represent a surgical challenge. Callus distraction via segment transport, vascularized bone transfer and the induced membrane technique (IMT) are established methods of reconstruction. In recent decades IMT has experienced increasing popularity due to its practicability, reproducibility and reliability.
View Article and Find Full Text PDFCase report: Local bacteriophage therapy for fracture-related infection with polymicrobial multi-resistant bacteria: hydrogel application and postoperative phage analysis through metagenomic sequencing.
Front Med (Lausanne)
July 2024
Department of Trauma Surgery, University Hospital Regensburg, Regensburg, Germany.
Fracture-related infections can be challenging, particularly with concomitant severe bone defects and multi-resistant microorganisms. We present a case of a 42-year-old patient with a fracture-related infection following a war injury from a gunshot, resulting in a 12-cm subtrochanteric segmental bone defect and the detection of four different multi-resistant Gram-negative bacteria. Due to antibiotic drug resistance, treatment with bacteriophages was considered.
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