The use of the induced membrane technique in an open fracture of the first phalangeal column of the thumb
The case involves a 53-year-old patient admitted for trauma to the right hand following an accident with a grinder. The 4 cm wound on the first ray caused a tendon deficit without vascular or nerve damage. An open fracture of the first metacarpal with a 2 cm bone loss was diagnosed. Initial treatmen...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | Trauma Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644025000809 |
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| author | Sohayb Darraz Amine El Farhaoui Mohammed Lamziraa Llyesse Haichour Omar Mokhtari Adnane Lachkar Najib Abdeljaouad Hicham Yacoubi |
| author_facet | Sohayb Darraz Amine El Farhaoui Mohammed Lamziraa Llyesse Haichour Omar Mokhtari Adnane Lachkar Najib Abdeljaouad Hicham Yacoubi |
| author_sort | Sohayb Darraz |
| collection | DOAJ |
| description | The case involves a 53-year-old patient admitted for trauma to the right hand following an accident with a grinder. The 4 cm wound on the first ray caused a tendon deficit without vascular or nerve damage. An open fracture of the first metacarpal with a 2 cm bone loss was diagnosed. Initial treatment included wound irrigation, debridement, suturing, and osteosynthesis using biological cement and a Bone fixation using Iselin pinning with two K-wires. A second procedure, six weeks later, involved a bone graft using the Masquelet technique, showing bone consolidation after five months. This technique is proving increasingly effective for complex open fractures, promoting vascularization and cortication through the release of growth factors like BMP-2 and VEGF. Studies confirm the presence of osteoclasts and osteoblasts in the induced membrane, aiding osteointegration. Initially developed for the lower limb, the technique has successfully been extended to the hand, providing a viable option for bone substance loss. |
| format | Article |
| id | doaj-art-2e1fbbe2ab254ce6a9de5fc2483ece34 |
| institution | Kabale University |
| issn | 2352-6440 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj-art-2e1fbbe2ab254ce6a9de5fc2483ece342025-08-20T03:59:37ZengElsevierTrauma Case Reports2352-64402025-08-015810120310.1016/j.tcr.2025.101203The use of the induced membrane technique in an open fracture of the first phalangeal column of the thumbSohayb Darraz0Amine El Farhaoui1Mohammed Lamziraa2Llyesse Haichour3Omar Mokhtari4Adnane Lachkar5Najib Abdeljaouad6Hicham Yacoubi7Corresponding author at: Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, Morocco; Mohammed First University, Faculty of Medecine and Pharmacy, LAMCESM, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, Morocco; Mohammed First University, Faculty of Medecine and Pharmacy, LAMCESM, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, Morocco; Mohammed First University, Faculty of Medecine and Pharmacy, LAMCESM, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, Morocco; Mohammed First University, Faculty of Medecine and Pharmacy, LAMCESM, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, Morocco; Mohammed First University, Faculty of Medecine and Pharmacy, LAMCESM, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, Morocco; Mohammed First University, Faculty of Medecine and Pharmacy, LAMCESM, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, Morocco; Mohammed First University, Faculty of Medecine and Pharmacy, LAMCESM, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, Morocco; Mohammed First University, Faculty of Medecine and Pharmacy, LAMCESM, Oujda, MoroccoThe case involves a 53-year-old patient admitted for trauma to the right hand following an accident with a grinder. The 4 cm wound on the first ray caused a tendon deficit without vascular or nerve damage. An open fracture of the first metacarpal with a 2 cm bone loss was diagnosed. Initial treatment included wound irrigation, debridement, suturing, and osteosynthesis using biological cement and a Bone fixation using Iselin pinning with two K-wires. A second procedure, six weeks later, involved a bone graft using the Masquelet technique, showing bone consolidation after five months. This technique is proving increasingly effective for complex open fractures, promoting vascularization and cortication through the release of growth factors like BMP-2 and VEGF. Studies confirm the presence of osteoclasts and osteoblasts in the induced membrane, aiding osteointegration. Initially developed for the lower limb, the technique has successfully been extended to the hand, providing a viable option for bone substance loss.http://www.sciencedirect.com/science/article/pii/S2352644025000809Open fractureInduced membraneTendon lesionsBone loss |
| spellingShingle | Sohayb Darraz Amine El Farhaoui Mohammed Lamziraa Llyesse Haichour Omar Mokhtari Adnane Lachkar Najib Abdeljaouad Hicham Yacoubi The use of the induced membrane technique in an open fracture of the first phalangeal column of the thumb Trauma Case Reports Open fracture Induced membrane Tendon lesions Bone loss |
| title | The use of the induced membrane technique in an open fracture of the first phalangeal column of the thumb |
| title_full | The use of the induced membrane technique in an open fracture of the first phalangeal column of the thumb |
| title_fullStr | The use of the induced membrane technique in an open fracture of the first phalangeal column of the thumb |
| title_full_unstemmed | The use of the induced membrane technique in an open fracture of the first phalangeal column of the thumb |
| title_short | The use of the induced membrane technique in an open fracture of the first phalangeal column of the thumb |
| title_sort | use of the induced membrane technique in an open fracture of the first phalangeal column of the thumb |
| topic | Open fracture Induced membrane Tendon lesions Bone loss |
| url | http://www.sciencedirect.com/science/article/pii/S2352644025000809 |
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