Treatment of a case of septic tibial nonunion by the Capanna technique.

This report presents the case of a 25-year-old male with an infected tibial diaphyseal nonunion caused by a bone transport procedure carried out to treat an open fracture the patient had sustained 10 years before referral to our hospital. After an initial radical debridement, a bone defect was created, which was subsequently obliterated by placement of an antibiotic-impregnated cement spacer and Stimulan beads and covered by an anterolateral thigh flap. As the patient refused to wear an external fixator and his osseous biology was not amenable to a Masquelet procedure, a decision was made to apply the Capanna technique as soon as the infection healed.

Reconstruction of a tibial diaphyseal bone defect using the Masquelet technique. A case report.

Segmental bone defects in the lower limb may be treated by distraction osteogenesis, vascularized bone grafts, allografts, metal prostheses or amputation. The induced membrane technique, introduced by Masquelet, consists in induction of a pseudo-synovial membrane by local tissue reaction to a synthetic spacer, followed by application of bone allograft to the resulting cavity. This article describes the case of a 34-year-old male with severe multiple trauma.