article = {SCR-2019-4-107}
title = {Management of uncontained bone voids with Calcium Sulphate Ceramic (Modified Masquelet / Modified AMIC with Cerament Bio-Composite) Case report and review of literature}
journal = {Surgical Case Reports}
year = {2019}
issn = {2613-5965}
doi = {http://dx.doi.org/10.31487/j.SCR.2019.04.07}
url = {https://www.sciencerepository.org/management-of-uncontained-bone-voids-with-calcium-sulphate-ceramic-modified-masquelet-modified-amic-with-cerament-bio-composite-case-report-and-review-of_SCR-2019-4-107 
author = {Ahmed  Aljawadi, Mazin  Al-salihy,Anand  Pillai,Noman Shakeel Niazi,}
keywords = {Large bone void, cerament G, chondrotissue, septocoll E, traumatic chondral loss}
abstract ={Introduction: Large traumatic bone voids are challenging to treat. Autografts are associated with donor site
morbidity and limited availability. Bone graft substitutes are successful alternative to fill bone voids.
Case Presentation: The management of two patients with an open tibial fracture with segmental bone loss
and other patient with periarticular calcaneal void associated with chondral loss.
Treatment and outcomes: For first case, a contained cavity was made using Septocoll E, an absorbable
collagen fleece, to mimic a pseudo-membrane using Masquelet-technique. Bone void was filled with
Cerament-G and autologous bone graft. Second case with large peri-articular calcaneal void and chondral
loss, Cerament-G and autologous bone graft were used, and articular defect reconstruction was done with
synthetic chondral tissue. Both patients had painless mobility and consolidation of bone void.
Discussion: We represent two exceptional cases of traumatic bone void which were treated with modified
masquelet/modified AMIC with Cerament Bio-Composite with satisfactory outcomes.
}