Modified Masquelet Technique for First Metatarsal Salvage in a 14-Year-Old With Chronic Osteomyelitis: A Case Report.
Prasham Shah, Rutuja Wankhade, Chetan Oswal
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Case in brief
A 14-year-old boy presented with chronic osteomyelitis of the first metatarsal, resulting in a 4-cm defect after debridement. Initial treatment involved radical excision and placement of a gentamicin-vancomycin spacer with an external fixator. Following the normalization of inflammatory markers, a modified Masquelet technique was employed, utilizing a fibular strut graft and iliac crest graft, leading to successful union and functional recovery.
Diagnostic / clinical pearl
The modified Masquelet technique, combined with temporary external fixation, can effectively manage significant bone defects in pediatric osteomyelitis cases.
Why it matters
This case highlights the importance of innovative surgical techniques in limb salvage, particularly in the pediatric population, where traditional methods may be less effective.