Evidence map›Paper›PMID 34442418›Full record

ArticleJournal of personalized medicine2021

Preliminary Results of the "Capasquelet" Technique for Managing Femoral Bone Defects-Combining a Masquelet Induced Membrane and Capanna Vascularized Fibula with an Allograft.

Alexis Combal, François Thuau, Alban Fouasson-Chailloux, Pierre-Paul Arrigoni, Marc Baud'huin, Franck Duteille, Vincent Crenn

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Alexis CombalClinique Chirurgicale Orthopédique et Traumatologique, CHU de Nantes, University Hospital of Nantes, 44093 Nantes, France.
François ThuauService de Chirurgie Plastique et Reconstructrice, CHU de Nantes, University Hospital of Nantes, 44093 Nantes, France.ORCID 0000-0002-1857-9263
Alban Fouasson-ChaillouxService de Médecine Physique et de Réadaptation Locomotrice, CHU de Nantes, University Hospital of Nantes, 44093 Nantes, France.ORCID 0000-0002-8139-814X
Pierre-Paul ArrigoniService de Radiologie, CHU de Nantes, University Hospital of Nantes, 44093 Nantes, France.
Marc Baud'huinBanque Multi-Tissus, CHU de Nantes, University Hospital of Nantes, 44093 Nantes, France.
Franck DuteilleService de Chirurgie Plastique et Reconstructrice, CHU de Nantes, University Hospital of Nantes, 44093 Nantes, France.
Vincent CrennClinique Chirurgicale Orthopédique et Traumatologique, CHU de Nantes, University Hospital of Nantes, 44093 Nantes, France.ORCID 0000-0002-6563-8895
Centre Hospitalier Universitaire de Nantes · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe the preliminary results of a novel two-stage reconstruction technique for extended femoral bone defects using an allograft in accordance with the Capanna technique with an embedded vascularized fibula graft in an induced membrane according to the Masquelet technique. We performed what we refer to as "Capasquelet" surgery in femoral diaphyseal bone loss of at least 10 cm. Four patients were operated on using this technique: two tumors and two traumatic bone defects in a septic context with a minimum follow up of one year. Consolidation on both sides, when achieved, occurred at 5.5 months (4-7), with full weight-bearing at 11 weeks (8-12). The functional scores were satisfactory with an EQ5D of 63.3 (45-75). The time to bone union and early weight-bearing with this combined technique are promising compared to the literature. The osteoinductive role of the induced membrane could play a positive role in the evolution of the graft. Longer follow up and a larger cohort are needed to better assess the implications. Nonetheless, this two-stage technique appears to have ample promise, especially in a septic context or in adjuvant radiotherapy in an oncological context.

Indexed as

ballistic traumabone tumorCapanna techniquecritical bone defectintercalary reconstructionMasquelet induced membranevascularized fibula

Identifiers

PMID34442418
PMCPMC8401617
OpenAlexW3192629654

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.