Journal
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
Volume 27, Issue 5, Pages 443-455Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/BPB.0000000000000456
Keywords
bone defect; bone nonunion treatment; children; induced membrane technique; Masquelet technique; osteomyelitis; paediatric; systematic review
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Thirty years after its description by Masquelet in 1986, this is the first systematic review aiming to critically evaluate the 'induced membrane technique' effectiveness in achieving bone union in children. Only six papers fulfilled our inclusion criteria (54 patients). The relatively small number of reported cases did not allow a formal meta-analysis. The tibia was the most involved bone. Most frequent aetiologies were congenital pseudoarthrosis and tumour resections. Although effective in achieving bone healing in similar to 91% of the patients (bone defects <= 24 cm long), the induced membrane technique was associated with a high rate of complications (54% of patients). Level of Evidence: IV. Copyright (C) 2018 Wolters Kluwer Health, Inc. All rights reserved.
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