{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:28:41Z","timestamp":1762507721312,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T00:00:00Z","timestamp":1561680000000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A post-traumatic, infected, non-union of a long bone is a significant challenge to orthopaedic surgeons, especially in zones of conflict and humanitarian settings. We describe a 32-year-old man treated with the two-stage Masquelet procedure for an infected non-union, and the processes required to achieve clinical bony union. The initial injury was a gunshot wound through the left proximal tibia, which lay untreated for three months before the first definitive surgical procedure. Subsequent management required 13 procedures over 18 months with clinical union being achieved 4.5 years after wounding. The management of an infected non-union of a long bone in zones of conflict is difficult. However, a successful outcome is still possible and the Masquelet procedure a suitable choice; amputation is not always the correct solution. There is a need in the humanitarian sector for healthcare facilities within easy reach of a zone of conflict that can undertake complex reconstructive procedures.<\/jats:p>","DOI":"10.1093\/jscr\/rjz149","type":"journal-article","created":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T14:36:13Z","timestamp":1557153373000},"source":"Crossref","is-referenced-by-count":3,"title":["The Masquelet induced-membrane technique: an option for a tertiary-referral conflict setting"],"prefix":"10.1093","volume":"2019","author":[{"given":"Paul","family":"Ley","sequence":"first","affiliation":[{"name":"International Committee of the Red Cross, Weapon Traumatology and Training Centre, Dar Al Chifae Hospital, Mazloum Hospital Street, Tripoli, North Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard A","family":"Gosselin","sequence":"additional","affiliation":[{"name":"Institute for Global Orthopedics and Traumatology, UCSF Ortho Dept, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Villar","sequence":"additional","affiliation":[{"name":"Villar-Bajwa Practice, Princess Grace Hospital, 30 Devonshire Street, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,6,28]]},"reference":[{"key":"2019073109402056700_rjz149C1","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1136\/jramc-152-02-06","article-title":"Ballistic fractures during the 2003 Gulf conflict\u2014early prognosis and high complication rate","volume":"152","author":"Hinsley","year":"2006","journal-title":"J R Army Med Corps"},{"key":"2019073109402056700_rjz149C2","first-page":"346","article-title":"Reconstruction of the long bones by the induced membrane and spongy autograft","volume":"45","author":"Masquelet","year":"2000","journal-title":"Ann Chir Plast Esthet"},{"key":"2019073109402056700_rjz149C3","doi-asserted-by":"crossref","first-page":"S239","DOI":"10.1097\/TA.0b013e318163cd14","article-title":"Prevention and management of infections associated with combat-related extremity injuries","volume":"64","author":"Murray","year":"2008","journal-title":"J Trauma"},{"key":"2019073109402056700_rjz149C4","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/j.injury.2011.03.036","article-title":"Masquelet technique for the treatment of bone defects: tips-tricks and future directions","volume":"42","author":"Giannoudis","year":"2011","journal-title":"Injury"},{"key":"2019073109402056700_rjz149C5","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.ocl.2009.07.011","article-title":"The concept of induced membrane for reconstruction of long bone defects","volume":"41","author":"Masquelet","year":"2010","journal-title":"Orthop Clin North Am"},{"key":"2019073109402056700_rjz149C6","doi-asserted-by":"crossref","first-page":"S68","DOI":"10.1016\/S0020-1383(16)30842-7","article-title":"Masquelet technique: myth or reality? A systematic review and meta-analysis","volume":"47","author":"Morelli","year":"2016","journal-title":"Injury"},{"key":"2019073109402056700_rjz149C7","first-page":"710302","article-title":"Masquelet technique for treatment of posttraumatic bone defects","volume":"2014","author":"Wong","year":"2014","journal-title":"SciWorld J"},{"key":"2019073109402056700_rjz149C8","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s00064-014-0300-9","article-title":"[Masquelet technique for the treatment of large dia- and metaphyseal bone defects]","volume":"27","author":"Krappinger","year":"2015","journal-title":"Oper Orthop Traumatol"},{"key":"2019073109402056700_rjz149C9","doi-asserted-by":"crossref","first-page":"S62","DOI":"10.1016\/S0020-1383(16)30841-5","article-title":"Success rate and risk factors of failure of the induced membrane technique in children: a systematic review","volume":"47","author":"Aur\u00e9gan","year":"2016","journal-title":"Injury"},{"key":"2019073109402056700_rjz149C10","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1302\/0301-620X.99B5.BJJ-2016-0694.R2","article-title":"Induced membrane technique for treating tibial defects gives mixed results","volume":"99-B","author":"Morris","year":"2017","journal-title":"Bone Joint J"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2019\/6\/rjz149\/29023731\/rjz149.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,7,31]],"date-time":"2019-07-31T13:40:31Z","timestamp":1564580431000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjz149\/5524866"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,1]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,6,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjz149","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2019,6]]},"published":{"date-parts":[[2019,6,1]]},"article-number":"rjz149"}}