Salvage of mangled upper extremity using the Masquelet technique in a child: A case report

Abstract

AIM: To report our experience with the Masquelet concept in a pediatric upper extremity following an open injury to the elbow. METHODS: A case report and literature review. RESULTS: An 11-year-old boy was transferred to our institution after a motor vehicle collision. There was a primary loss of the ulnohumeral articulation and the surrounding soft tissues as well as the ulnar nerve. Reconstruction used the Masquelet-induced membrane technique and a soft tissue flap. At the 30-month follow-up, the extremity was pain free and functional. CONCLUSION: This case highlights the value of the Masquelet technique in pediatric extremity injuries, where there is a loss of a major articular segment, as well as significant soft tissue compromise.