TY - JOUR
AR - SCR-2019-4-107
TI - Management of uncontained bone voids with Calcium Sulphate Ceramic (Modified Masquelet / Modified AMIC with Cerament Bio-Composite) Case report and review of literature
AU - Ahmed , Aljawadi
AU -  Mazin , Al-salihy
AU - Anand , Pillai
AU - Noman Shakeel, Niazi
JO - Surgical Case Reports
PY - 2019
DA - Fri 30, Aug 2019
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2019.04.07
UR - 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 
KW - Large bone void, cerament G, chondrotissue, septocoll E, traumatic chondral loss
AB - 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.