Two Staged Procedure for Infective Non-Union of Radial Shaft Fracture Treated with Masquelet Technique Followed by Modified Nicoll’s Graft: A Case Report
Easwar Balasubramanian, Rajkumar Pandidurai, Prithvi Rajan Sridharan
Author(s)
1Assistant Professor, Department of Orthopaedics, Velammal Medical College and Hospital, Madurai, TN, India, 2Senior resident Department of Orthopaedics, Velammal Medical College and Hospital, Madurai, TN, India, 3Junior resident Velammal Medical College and Hospital, Madurai, TN, India
Abstract
We present a case of an infected non-union of the radial diaphysis treated with ORIF and plating, following which the patient developed continuous pus discharge at the surgical site and loss of functional forearm movement. Treatment included the Masquelet technique of induced membrane with intramedullary Kirschner wiring, followed by Modified Nicoll’s Grafting after two months. Six weeks’ post-surgery, the patient achieved an excellent functional outcome and infection control.
Keywords: Masquelet Nicolls’s, Non-unions, Infected non-unions, Graft, Radius, Iliac.