SA Orthopaedic Journal
On-line version ISSN 2309-8309
Print version ISSN 1681-150X
VAN HEUKELUM, M; FERREIRA, N and MARAIS, L. Intramedullary nail after Masquelet bone graft fracture: A case report. SA orthop. j. [online]. 2015, vol.14, n.3, pp.70-74. ISSN 2309-8309. http://dx.doi.org/10.17159/2309-8309/2015/V14N3A8.
Large bone defects are challenging to reconstruct and often require specialised treatment strategies, multiple surgeries and long treatment periods. When these bone defects are the result of chronic infection the complexity of the reconstructive process increases exponentially. In the subtrochanteric area of the femur, bone defects secondary to infection are especially challenging as skeletal stabilisation is difficult and internal fixation is considered with caution due to the risk of recurrent infection. We report a case of a 24-year-old male who was successfully treated with an intramedullary nail after a fracture through a subtrochanteric Masquelet bone graft site.
Keywords : intramedullary nail; bi-Masquelet; Ilizarov; bone defect; reconstruction.