Management of Septic Non-union of the Tibia Using the "Induced Membrane" Technique

Management of Septic Non-union of the Tibia Using the "Induced Membrane" Technique

The aim of the study was to assess clinical and radiological results with the "induces membrane" technique, described by A. C. Masquelet in 1986, in a series of patients with septic non-union of the tibia

Septic tibial non-union is a therapeutic challenge that may even lead to amputation. Treatment often necessitates several chirurgical steps. It is agreed that resection must extend to several tissues (osteitis zone ans macroscopically pathological soft tissue), with associated non-union site stabilization ans effective antibiotic therapy.

In 1986, Pr A. C. Masquelet described a 2-step procedure called the induced membrane technique, to manage bone defects of varying severity. Initial results were encouraging but there have been few large homogeneous series specific to this technique in septic non-union.

inclusion criteria :

• Patients with septic non-union of the tibia
• managed using the induced membrane technique between novembrer 2007 and novembre 2014 in Reims University hospital
• Patients who agree to participate to the study
• Major patient

exclusion criteria :

• Patient under law protection
• Minor patient