Vascularized Medial Femoral Condyle Periosteal Bone Grafts in the Treatment of Long-Standing Non-Union

2007 ◽  
Vol 22 (08) ◽  
Author(s):  
Umar Choudry ◽  
Zeynep Karacor ◽  
Steven Moran
Keyword(s):  
Femoral Condyle ◽  
Bone Grafts ◽  
Medial Femoral Condyle ◽  
Non Union

scholarly journals Clinical and radiological results of the vascularized medial femoral condyle graft for scaphoid non-union

2020 ◽  
Vol 140 (6) ◽  
pp. 835-842 ◽  
Author(s):  
Marco Keller ◽  
Tobias Kastenberger ◽  
Anizar Faizi Anoar ◽  
Peter Kaiser ◽  
Gernot Schmidle ◽  
...  
Keyword(s):  
Femoral Condyle ◽  
Medial Femoral Condyle ◽  
Non Union ◽  
Radiological Results ◽  
Clinical And Radiological Results

Free vascularized medial femoral condyle corticoperiosteal flap with non-vascularized iliac crest graft for the treatment of recalcitrant clavicle non-union

2020 ◽  
Vol 73 (7) ◽  
pp. 1232-1238
Author(s):  
Charlotte Jaloux ◽  
Quentin Bettex ◽  
Michel Levadoux ◽  
Alexandre Cerlier ◽  
Aurélie Iniesta ◽  
...  
Keyword(s):  
Iliac Crest ◽  
Femoral Condyle ◽  
Medial Femoral Condyle ◽  
Iliac Crest Graft ◽  
Non Union

Donor site morbidity of vascularized bone grafts from the medial femoral condyle for osseous revascularization

Microsurgery ◽  
2020 ◽  
Vol 40 (2) ◽  
pp. 104-109 ◽  
Author(s):  
Victoria Franziska Struckmann ◽  
Giuseppe Rusignuolo ◽  
Leila Harhaus ◽  
Ursula Trinler ◽  
Berthold Bickert ◽  
...  
Keyword(s):  
Femoral Condyle ◽  
Donor Site ◽  
Bone Grafts ◽  
Donor Site Morbidity ◽  
Medial Femoral Condyle ◽  
Vascularized Bone

scholarly journals Vascularized bone grafts for post-traumatic defects in the upper extremity

2021 ◽  
Vol 48 (1) ◽  
pp. 84-90
Author(s):  
Giovanna Petrella ◽  
Daniele Tosi ◽  
Filippo Pantaleoni ◽  
Roberto Adani
Keyword(s):  
Upper Extremity ◽  
Bone Grafting ◽  
Femoral Condyle ◽  
Bone Grafts ◽  
Bone Defects ◽  
Tissue Loss ◽  
Surgical Reconstruction ◽  
Non Union ◽  
Post Traumatic ◽  
Vascularized Bone

Vascularized bone grafts (VBGs) are widely employed to reconstruct upper extremity bone defects. Conventional bone grafting is generally used to treat defects smaller than 5–6 cm, when tissue vascularization is adequate and there is no infection risk. Vascularized fibular grafts (VFGs) are mainly used in the humerus, radius or ulna in cases of persistent non-union where traditional bone grafting has failed or for bone defects larger than 6 cm. Furthermore, VFGs are considered to be the standard treatment for large bone defects located in the radius, ulna and humerus and enable the reconstruction of soft-tissue loss, as VFGs can be harvested as osteocutaneous flaps. VBGs enable one-stage surgical reconstruction and are highly infection-resistant because of their autonomous vascularization. A vascularized medial femoral condyle (VFMC) free flap can be used to treat small defects and non-unions in the upper extremity. Relative contraindications to these procedures are diabetes, immunosuppression, chronic infections, alcohol, tobacco, drug abuse and obesity. The aim of our study was to illustrate the use of VFGs to treat large post-traumatic bone defects and osteomyelitis located in the upper extremity. Moreover, the use of VFMC autografts is presented.

scholarly journals Medial femoral condyle vascularised corticoperiosteal graft: A suitable choice for scaphoid non-union

2017 ◽  
Vol 50 (02) ◽  
pp. 138-147 ◽  
Author(s):  
Samir Kumta ◽  
Sudhir Warrier ◽  
Leena Jain ◽  
Rani Ummal ◽  
Manik Menezes ◽  
...  
Keyword(s):  
Femoral Condyle ◽  
Hand Function ◽  
Scaphoid Fracture ◽  
Full Range ◽  
Donor Site ◽  
Optimal Solution ◽  
Difficult Problem ◽  
Medial Femoral Condyle ◽  
Osteogenic Potential ◽  
Non Union

ABSTRACT Introduction: Scaphoid fractures are not very common and frequently remain undiagnosed, presenting in non-union and persistent wrist pain. Options for scaphoid fracture treatment have been described over several decades, however, none with an optimal solution to achieve union along with good hand function. We describe here, the use of vascularised corticoperiosteal bone grafts from the medial femoral condyle (MFC) as a solution for the difficult problem of scaphoid fracture non-union. Materials and Methods: This series has 11 patients with non-union following a scaphoid fracture treated over 18 months ranging from January 2014 to January 2016 using a vascularised corticoperiosteal graft from the MFC. Bone graft fixation was done using K-wires and anastomosis was done with the radial vessels. Results: There were no cases of flap loss. Time of union was an average 3 months. All patients had a full range of movements. Discussion: MFC is an ideal site for harvesting vascularised corticoperiosteal grafts providing a large surface of tissue supplied by a rich periosteal plexus from the descending genicular artery. No significant donor site morbidities have been reported in any series in the past. The well-defined anatomy helps in a rather simple dissection. Corticoperiosteal grafts have a high osteogenic potential and hence, this vascularised graft seems ideal for small bone non-unions. Conclusion: Thin, pliable and highly vascularised corticocancellous grafts can be obtained from the MFC as an optimal treatment option for scaphoid non-unions.

Free vascularised medial femoral condyle periosteal flaps in recalcitrant long bone non-union: a systematic review

2020 ◽  
Vol 140 (11) ◽  
pp. 1619-1631 ◽  
Author(s):  
Jamie Christina Weir ◽  
Rik Osinga ◽  
Adam Reid ◽  
Giles Roditi ◽  
Angus Duncan MacLean ◽  
...  
Keyword(s):  
Systematic Review ◽  
Femoral Condyle ◽  
Medial Femoral Condyle ◽  
Long Bone ◽  
Non Union

Donorsite defect of medial femoral condyle corticoperiostal flap in the treatment of lower limb infected nonunions

2020 ◽  
Author(s):  
Matteo Guzzini ◽  
Leopoldo Arioli ◽  
Clelia Rugiero ◽  
Marco Rossini ◽  
Giuseppe Argento ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Bone Healing ◽  
Soft Tissues ◽  
Femoral Condyle ◽  
Donor Site ◽  
Medial Femoral Condyle ◽  
Lower Limbs ◽  
Femoral Diaphysis ◽  
Recipient Site ◽  
Non Union

Abstract Backgrounds Chronic osteomyelitis is a major challenge in orthopaedic surgery; it is the result of open fracture, periprosthetic infection and septic arthritis. Osteomyelitis leads to fracture nonunion. The treatment of bone infection and infected nonunion consists primarily of the complete removal of infected and avascular bone and soft tissue from the surgical site, followed by local and systemic pathogen-specific antibiotic therapy and temporary stabilisation, but may lead to massive skeletal and soft tissue defects. The use of free or pedicled vascularised bone transfers and callus distraction techniques (bone transport) has been recommended for large bone defects. The aim of this study is to evaluate the results of patients affected by infected non-unions of the lower limbs, treated with a corticoperiosteal flap from the medial femoral condyle and to investigate the donor site morbidity of this flap. Materials and methods The patients were 11 males (average age of 45.6 years), who presented a nonunion of the tibial diaphysis in 7 cases and non-union of femoral diaphysis in 4 cases, treated with free or pedicled corticoperiosteal flap. In all patients, surgical debridement was performed before the flap of infected bone and soft tissues that would not contribute to wound healing. Clinical and radiographic evaluations of the recipient site were performed. Preoperative and postoperative X-ray and MRI scans after the 3-year follow-up of the donor site were performed, in order to observe possible bone restoration and any complications. Results The patients reported complete clinical and radiographic bone healing in 90.9 % of cases. As regards donor site, there were no differences between the medial femoral donor condyle compared to the contralateral site, due to complete regeneration of donor site bone. MRI investigation showed complete restoration of the donor site with vascularised bone in all patients. Conclusions Our results suggest that the use of bone flaps for the treatment of infected non-unions is an effective procedure, that must be performed after accurate debridement of the non-union site. The corticoperiosteal flap seems to have few morbidities on the donor site and a high percentage of successful bone healing.

The arterial anatomy of the medial femoral condyle and its clinical implications

2010 ◽  
Vol 35 (7) ◽  
pp. 569-574 ◽  
Author(s):  
H. Yamamoto ◽  
D. B. Jones ◽  
S. L. Moran ◽  
A. T. Bishop ◽  
A. Y. Shin
Keyword(s):  
Articular Surface ◽  
Femoral Condyle ◽  
Bone Grafts ◽  
Medial Femoral Condyle ◽  
Lower Limbs ◽  
Clinical Implications ◽  
Internal Diameter ◽  
Genicular Artery ◽  
Arterial Anatomy ◽  
Vascularized Bone

The success of vascularized bone grafts from the medial femoral condyle in various clinical applications has sparked renewed interest in the microvascular anatomy of this region. This study describes the arterial supply of the distal medial femoral condyle and its implications in harvesting vascularized bone grafts. The location, branching pattern, internal diameter, and distribution of perforators of the descending genicular artery and superior medial genicular artery in 19 fresh cadaveric lower limbs were recorded. The descending genicular artery was present in 89% and the superior medial genicular artery was present in 100% of specimens with average distances proximal to the articular surface of 13.7 cm and 5.2 cm, respectively. The average number of perforating vessels was greatest in the posterior distal quadrant of the condyle. The blood supply of the medial femoral condyle is plentiful and consistent making it a useful source for free vascularized bone grafts.

Vascularized medial femoral condyle graft for management of scaphoid non-union

2014 ◽  
Vol 40 (8) ◽  
pp. 848-854 ◽  
Author(s):  
A. Elgammal ◽  
B. Lukas
Keyword(s):  
Bone Graft ◽  
Blood Supply ◽  
Femoral Condyle ◽  
Medial Femoral Condyle ◽  
Proximal Pole ◽  
Previous Surgery ◽  
Level Of Evidence ◽  
Non Union ◽  
Structural Support

The purpose of this study was to assess the results of the management of difficult scaphoid non-unions using a vascularized medial femoral condyle graft. We operated on 30 patients with necrosis of the proximal pole or with severe humpback deformity or who presented with persistent non-union despite previous surgery. Twenty-four cases in our series showed full consolidation and six cases showed persistent non-union. The free vascularized medial femoral condyle bone graft can provide not only structural support, but also a consistent and good blood supply that results in excellent rates of union. Level of evidence: IV

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