Surgical Case Reports | 2019
Management of uncontained bone voids with Calcium Sulphate Ceramic (Modified Masquelet / Modified AMIC with Cerament Bio-Composite) Case report and review of literature
Abstract
Introduction: Large traumatic bone voids are challenging to treat. Autografts are associated with donor site \nmorbidity and limited availability. Bone graft substitutes are successful alternative to fill bone voids. \nCase Presentation: The management of two patients with an open tibial fracture with segmental bone loss \nand other patient with periarticular calcaneal void associated with chondral loss. \nTreatment and outcomes: For first case, a contained cavity was made using Septocoll E, an absorbable \ncollagen fleece, to mimic a pseudo-membrane using Masquelet-technique. Bone void was filled with \nCerament-G and autologous bone graft. Second case with large peri-articular calcaneal void and chondral \nloss, Cerament-G and autologous bone graft were used, and articular defect reconstruction was done with \nsynthetic chondral tissue. Both patients had painless mobility and consolidation of bone void. \nDiscussion: We represent two exceptional cases of traumatic bone void which were treated with modified \nmasquelet/modified AMIC with Cerament Bio-Composite with satisfactory outcomes.