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7 surgical revisions were required. The mean healing time was 15.5 months (range, 6 - 49 months). According to the ASAMI criteria, seven patients were rated as "excellent", and six patients were rated as "good"; one patient showed "poor" functional results. A total of 17 cases of treatment failure and 36 complications were detected. The combination of the Masquelet technique and external fixation yielded a low healing rate and was associated with a significant number of cases of treatment failure. Therapeutic Level IV. See Instructions