Reconstruction of Septic Tibial Bone Defects With the Masque
A Study was conducted to evaluate the results of a series of septic tibial bone defects treated with the Masquelet technique and external ring fixation as a standardized treatment procedure.

All patients 18 years of age or older with septic diaphyseal bone defects of the tibia who underwent induced membrane treatment with ring fixation were included. Functional results were assessed according to the scoring system of the Association for the Study and Application of Methods of Ilizarov. The secondary outcome measures were treatment failure and complications.

--31 patients were treated, with a mean follow-up period of 33 months.

--Overall, among 14 patients assessed as having achieved bone healing, an average of 3.7 surgical revisions were required. The mean healing time was 15.5 months.

--According to the Association for the Study and Application of Methods of Ilizarov criteria, 7 patients were rated as “excellent” and 6 patients were rated as “good”; one patient showed “poor” functional results. A total of 17 cases of treatment failure and 36 complications were detected.

Finally, the Masquelet approach combined with external fixation resulted in a low healing rate and was linked to a substantial number of treatment failures.