Aim: To report our experience with the Masquelet concept in a pediatric upper extremity following an open injury to the elbow.Methods: A case report and literature review.Results: An 11-year-old boy was transferred to our institution after a motor vehicle collision.There was a primary loss of the ulnohumeral articulation Facial Mask and the surrounding soft tissues as well as the ulnar nerve.Reconstruction used the Masquelet-induced membrane technique and a soft tissue flap.
At the 30-month follow-up, the extremity was pain free and functional.Conclusion: This case highlights the value of the Masquelet technique in pediatric extremity injuries, where there is a Pizza Oven Brushes loss of a major articular segment, as well as significant soft tissue compromise.