Masquelet Technique for Management of Infected Tibial Diaphyseal Non-union in Ghana: A Case Report

Introduction: Infected non-union of the tibial diaphysis is a refractory disease with high recurrence rates. It may be complicated by persistent local infection, bone and soft tissue loss and limb deformity. The masquelet technique is cost-effective in managing bone loss in the treatment of infected non-union. It does not require specialized training and sophisticated instruments. Case Report: A 16-year old female with recurrent discharging sinuses on the right leg following open reduction and internal fixation of a tibial shaft fracture. There were shortening, muscle atrophy, discharging sinuses on the anteromedial right leg and stiffness of the right ankle joint. Conclusion: Infected tibial shaft non-union may run a protracted course with reduced productivity and missed work. It may be refractory to multiple surgical procedures and result in limb deformity. Operative treatment of the disease with the masquelet technique could be safe, effective and applicable in a limited-resource setting. Additionally, the masquelet technique improves bone union and limb function. Staged surgical treatment, involving thorough debridement, maximises treatment success. The masquelet technique is a viable choice for the management of infected tibial shaft non-union and improves bone union and limb function. Tri-calcium phosphate augmentation of autograft in the treatment of large long bone defects increases graft volume and could promote bone union. Staged surgical treatment of infected tibial diaphyseal non-union maximises treatment success.