Abstract
Management of large bone defects remains a complex situation, with multiple treatment options but with a persistent lack of reliable models or best practice evidence. In severe bone defects, options are bone transport technique, free vascularized autograft and Masquelet technique. These have all shown advantages and drawbacks and are required to be tailored to the patient’s individual situation, including the local situation with size and location of the bone defect, soft tissues condition, local vascularization and risk of infection. Potential complications and duration of treatment should be part of the patient’s information when limb reconstruction is considered, to optimize patient compliance in an already life-changing situation. The case reported here describes the management of a 47-year-old man with an Gustilo 3B open distal femoral fracture, with a large circumferential bone defect, treated with the induced membrane technique during 9 months before acquiring bone consolidation.
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