APPLICATION OF SURGICAL TECHNOLOGIES FOR THE TREATMENT OF VICTIMS WITH LONG BONE DEFECTS DUE TO MODERN COMBAT TRAUMA. MESSAGE 2. INDUCED MEMBRANE TECHNOLOGY (MASQUELET TECHNIQUE)
DOI:
https://doi.org/10.15674/0030-5987202615-11Keywords:
Long bones, defects, sizes, surgical treatment, technology Masquelet, combat injuriesAbstract
Combat trauma, which, unfortunately, is now widespread in Ukraine as a result of the Ukrainian-Russian war, causes severe traumatic injuries to both military personnel and civilians. Objective. To provide a complete description of the indications for the use of induced membrane technology (Masquelet technology) in victims with long bone defects resulting from combat trauma. Methods. This study is based on an analysis of 51 cases of the use of the Masquelet technique in victims with long bone defects due to combat injuries. Connection criteria: the use of this particular technology is effective according to absolute or conditionally absolute indications, it was effective Masquelet.Results. It was established that the Masquelet technology was mainly used in victims with long bone defects aged 31–40 years (52.94 %). In addition, the Masquelet technology was most often used on the lower limb 64.70 %. There is a pattern in the use of the Masquelet technology depending on the localization of the long bone defect: in the proximal part of both the upper and lower limbs, this technology was used more often. The Masquelet technology was mainly used in victims with long bone defects measuring 5.0–9.99 cm (45.10 %). At the same time, the Masquelet technology was not used for long bone defects larger than 15 cm. Conclusions. The use of Masquelet technology is appropriate in victims with defects of long bones due to combat trauma in young and middle age, which is due to the age-dependent nature of bone tissue repair processes. There is an obvious dependence of the effectiveness and feasibility of using the induced membrane technology on the size of the defect. The most appropriate application is with a defect size of 5.0–9.99 cm and cavitary defects, regardless of the localization of the defect. It is also necessary to take into account the results of a comprehensive analysis of clinical-epidemiological and clinicalanatomical features.
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Copyright (c) 2026 Sergiy Guryev, Serhiy Hariyan, Vitalii Kushnir, Oleksandr Tsybulskyi

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