scholarly journals Reconstruction using a free vascularised medial femoral condyle corticoperiosteal flap for osteomyelitis of the juxta-articular distal radius: A case report and literature review

2021 ◽  
Vol 32 ◽  
pp. 100408
Author(s):  
Seigo Suganuma ◽  
Kaoru Tada ◽  
Daisuke Yamauchi ◽  
Shingo Takagawa ◽  
Hidetoshi Yasutake ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Distal Radius ◽  
Femoral Condyle ◽  
Medial Femoral Condyle

Vascularized Medial Femoral Condyle Bone Graft for Resistant Nonunion of the Distal Radius

2017 ◽  
Vol 22 (01) ◽  
pp. 23-28 ◽  
Author(s):  
Mark Henry
Keyword(s):  
Distal Radius ◽  
Femoral Condyle ◽  
Difficult Problem ◽  
Medial Femoral Condyle ◽  
Dash Score ◽  
Structural Block ◽  
Surgical Interventions ◽  
Paired Student ◽  
Co Morbidity ◽  
The Mean

Background: Nonunion involving the metaphyseal region of the distal radius is exceedingly rare, usually involving co-morbidity. Patients that have failed multiple prior conventional surgical interventions represent an even more difficult subset to treat; this investigation examined the utility of a specially designed free vascularized medial femoral condyle flap consisting of a central structural block graft with an extended corticoperiosteal sleeve to wrap around the junctions. Methods: Six patients (5 males, 1 female) with a mean age of 52 years had failed to achieve union involving the distal radius metaphysis after a mean of 3.7 prior surgeries occurring over a mean period of 24 months. Comorbidities included smoking, alcoholism, chronic nutritional deficiency, and prior osteomyelitis. The unique descending genicular artery medial femoral condyle flap designed to address these patients consisted of a central structural block graft in continuity with an extended corticoperiosteal sleeve. The structural block filled the bone defect, and the corticoperiosteal sleeve wrapped around the bone junctions and the neighboring bone margins. The mean flap size was 5.3 (+/- 1.3) cm long by 4.5 (+/- 0.9) cm wide. Pre-operative to post-operative DASH scores were compared using the paired student’ s t-test, with p < 0.05. Results: All flaps achieved union at a mean of 6.8 (+/- 2.1) weeks following surgery, using the criteria of bridging trabeculae on all 3 radiographs: coronal, sagittal, and oblique. The mean pre-operative DASH score of 63 (+/- 10) was statistically significantly different compared to the mean post-operative DASH score of 18 (+/- 8). Conclusions: With few alternative solutions able to address this unique and difficult problem, the structural block of vascularized bone with the extended corticoperiosteal sleeve proved able to achieve a union that had failed multiple previous attempts and able to resist reactivation of infection, in a challenging group of patients with comorbidities.

The periosteal‐cutaneous chimeric medial femoral condyle free flap for subtotal ear reconstruction: A case report

Microsurgery ◽  
2020 ◽  
Vol 40 (7) ◽  
pp. 814-817
Author(s):  
Pietro G. di Summa ◽  
Gianluca Sapino ◽  
Patrice Zaugg ◽  
Wassim Raffoul ◽  
David Guillier
Keyword(s):  
Case Report ◽  
Free Flap ◽  
Femoral Condyle ◽  
Medial Femoral Condyle ◽  
Ear Reconstruction

Longstanding knee joint preserved functional outcome following medial femoral condyle resection. A case report

The Knee ◽  
2010 ◽  
Vol 17 (4) ◽  
pp. 303-305
Author(s):  
Morsi Khashan ◽  
Amir Haim ◽  
Ofir Chechick ◽  
Samuel Dekel
Keyword(s):  
Case Report ◽  
Knee Joint ◽  
Functional Outcome ◽  
Femoral Condyle ◽  
Medial Femoral Condyle

An Innovative Application of the Free Vascularized Medial Femoral Condyle Flap in the Prevention of Recurring Neuropathic Ulcer in the Diabetic Foot: A Case Report

2018 ◽  
Vol 57 (5) ◽  
pp. 1020-1023 ◽  
Author(s):  
Martin Grohmann ◽  
Stefan Benedikt ◽  
Anna Vasilyeva ◽  
Heinz Bürger ◽  
Abigail Forbes ◽  
...  
Keyword(s):  
Case Report ◽  
Diabetic Foot ◽  
Femoral Condyle ◽  
Medial Femoral Condyle
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