Treatment of non-union of forearm bones with a free vascularised corticoperiosteal flap from the medial femoral condyle.
نویسنده
چکیده
We report 6 cases of recalcitrant non-union of forearm bones treated with a free vascularized thin corticoperiosteal graft harvested from the medial condyle of the femur. All non-unions healed. In one 58-year-old patient a fracture of the femur occurred.
منابع مشابه
Treatment of a Femur Nonunion with Microsurgical Corticoperiosteal Pedicled Flap from the Medial Femoral Condyle
Introduction. The vascularized corticoperiosteal flap is harvested from the medial femoral condyle and it is nourished by the articular branch of the descending genicular artery and the superomedial genicular artery. This flap is usually harvested as a free flap for the reconstruction of bone defects at forearm, distal radius, carpus, hand, and recently at lower limb too. Case Report. A 50-year...
متن کاملVascularized periosteal transfer from the medial femoral condyle: is it compulsory to include the cortical bone?
BACKGROUND The corticoperiosteal flap from the medial femoral condyle has become the workhorse in the management of recalcitrant nonunions with vascularized periosteum. Inclusion of the outer condylar cortex has been advocated to avoid damaging the osteogenic capacity of the periosteum and is at present an ordinary technical step in the procedure. PATIENTS A clinical prospective study was und...
متن کاملFree vascularised corticoperiosteal bone flaps in the treatment of non-union of long bones: an ignored opportunity?
Five patients with atrophic or septic non-union of long bones were treated with free vascularised corticoperiosteal bone flaps. The patients had undergone an average of nine prior operations (range, 2-29). The treatment was combined with repeat internal fixation in four patients,. Treatment took place an average of 25.5 months (range 5-83 months) after the initial injury. The thin corticoperios...
متن کاملContribution to the Anatomical Study of the Corticoperiosteal Flap of the Medial Femoral Condyle
OBJECTIVE to perform the anatomical study, in cadavers, of the corticoperiosteal flap of the medial femoral condyle, based on the medial genicular artery, evaluating challenges in dissection and the topographic patterns. MATERIALS AND METHODS fifteen limbs from eight cadavers were studied, ages ranging from 19 to 74 years old. They were placed at supine position, and a longitudinal incision o...
متن کاملOne-stage reconstruction of tracheal defects with the medial femoral condyle corticoperiosteal-cutaneous free flap.
BACKGROUND The demanding anatomic and mechanical requirements make the reconstruction of long tracheal defects challenging. Multiple attempts at replacing tracheal segments are described, including the use of autologous, allogeneic, and synthetic tissues. However, the multilayer structure of the trachea and its function as a conduit for air had generally resulted in the use of nonvascularized t...
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عنوان ژورنال:
- Acta orthopaedica Belgica
دوره 75 5 شماره
صفحات -
تاریخ انتشار 2009