Keywords
Traumatology
Pseudarthrosis
Masquelet Technique
How to Cite
Abstract
Background: Forearm pseudoarthrosis is a complication that compromises patients' functionality and quality of life. Despite the various therapeutic options, the combination of innovative techniques such as Masquelet and the use of non-vascularized fibula grafts has shown promising results in other sites of pseudoarthrosis. However, there is a lack of studies proving its specific efficacy in the forearm. This study is justified by the need for new therapeutic approaches to resolve this condition, especially when there is substantial bone loss and compromised vascularization.
Aim: To evaluate the effectiveness of the Masquelet technique associated with non-vascularized fibula grafting in the treatment of forearm pseudoarthrosis. Also, to analyze bone consolidation after using the combined technique, evaluate functional recovery, investigate possible complications associated with treatment, and compare radiographic results before and after treatment.
Method: Case report based on the patient's medical records associated with clinical and surgical follow-up of the patient. Results: The patient was followed up in the postoperative period with periodic evaluations of function and bone healing, presenting functional return to activities.
Discussion: Pseudarthrosis is a condition in which the bone fracture does not consolidate within the expected time, resulting in the formation of fibrocartilaginous tissue at the site of the injury, requiring intervention for bone consolidation. Pseudoarthrosis is usually associated with pain, deformity, abnormal movement at the fracture site, impaired function of the affected region, and psychological disorders resulting from functional limitation. The Masquelet technique in the first stage involves the insertion of an antibiotic spacer to control infection and create a fibrous envelope. In the second stage, the spacer is removed and a bone graft is inserted.
Conclusion: This case report presents the results of the application of the Masquelet technique associated with non-vascularized fibula grafting for the treatment of pseudoarthrosis, showing good functional results.
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