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Clin Podiatr Med Surg ; 38(1): 99-110, 2021 Jan.
Article in English | MEDLINE | ID: mdl-33220747

ABSTRACT

The induced membrane technique is a simple, effective, and reproducible treatment method for segmental bone defects. It is a 2-stage approach that requires eventual autologous bone graft to manage the deficit. The first stage requires debridement of all nonviable tissue while preserving a healthy soft tissue envelope. A polymethylmethacrylate is implanted between the osseous segments to maintain length. The osseous defect can be stabilized internally or externally. During the second stage, a vascularized induced membrane is formed and produces multiple growth factors. The induced membrane technique is a valuable option for limb salvage in cases of segmental bone defects.


Subject(s)
Foreign-Body Reaction , Fractures, Bone/surgery , Intercellular Signaling Peptides and Proteins/metabolism , Membranes/growth & development , Membranes/metabolism , Soft Tissue Injuries/surgery , Autografts , Bone Regeneration , Cancellous Bone/transplantation , Debridement , Humans , Limb Salvage/methods
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