scholarly journals Development of the blood supply to the growth cartilage of the medial femoral condyle of foals

2020 ◽  
Vol 53 (1) ◽  
pp. 134-142
Author(s):  
Bjørn H. Wormstrand ◽  
Cathrine T. Fjordbakk ◽  
David J. Griffiths ◽  
Sigrid Lykkjen ◽  
Kristin Olstad
Keyword(s):  
Blood Supply ◽  
Femoral Condyle ◽  
Medial Femoral Condyle ◽  
Growth Cartilage

Early Lesions of Articular Osteochondrosis in the Distal Femur of Foals

2011 ◽  
Vol 48 (6) ◽  
pp. 1165-1175 ◽  
Author(s):  
K. Olstad ◽  
B. Ytrehus ◽  
S. Ekman ◽  
C. S. Carlson ◽  
N. I. Dolvik
Keyword(s):  
Blood Supply ◽  
Animal Species ◽  
Femoral Condyle ◽  
Osteochondrosis Dissecans ◽  
Developmental Pattern ◽  
Growth Cartilage ◽  
Early Lesions ◽  
Hind Limbs ◽  
Subchondral Bone Cysts ◽  
The Relationship

Failure of the cartilage canal blood supply to epiphyseal growth cartilage has been implicated in the pathogenesis of articular osteochondrosis in horses and other animal species. In a previous study of the developmental pattern of the blood supply in the tarsus of foals, early lesions of osteochondrosis were consistently found in regions where the cartilage canal vessels traversed the chondro-osseous junction. The developmental pattern of blood vessels has also been described in the distal femoral epiphysis; however, the group of foals examined in that study did not have lesions of osteochondrosis in this location. Therefore, the relationship between the occurrence of early lesions of osteochondrosis and the developmental pattern of the blood supply to epiphyseal growth cartilage in this site in foals has not been examined. Distal femora were collected from 30 fetuses and foals (up to 11 months old) submitted for postmortem examination. Sections from the lateral trochlear ridge and medial femoral condyle of both hind limbs were examined histologically. Sixteen cartilage lesions were found in 7 of the 30 fetuses and foals. All lesions contained evidence of cartilage canal necrosis and ischemic chondronecrosis. The lesions were located in regions where cartilage canal vessels traversed the chondro-osseous junction, as previously observed in the tarsus. The location and morphology of lesions indicated that a subclinical stage of ischemic chondronecrosis existed that preceded and predisposed to the development of osteochondrosis dissecans and subchondral bone cysts.

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

Evaluation of the Intraosseous and Extraosseous Blood Supply to the Distal Femoral Condyles

1998 ◽  
Vol 26 (3) ◽  
pp. 415-419 ◽  
Author(s):  
Ashok S. Reddy ◽  
Robert W. Frederick
Keyword(s):  
Posterior Cruciate Ligament ◽  
Blood Supply ◽  
Subchondral Bone ◽  
Ligament Reconstruction ◽  
Femoral Condyle ◽  
Cruciate Ligament ◽  
Medial Femoral Condyle ◽  
Posterior Cruciate Ligament Reconstruction ◽  
Cruciate Ligament Reconstruction ◽  
Femoral Condyles

Osteonecrosis of the distal femur occurs more often in the medial femoral condyle than in the lateral femoral condyle, but the vascular supply to these regions has not previously been described. Twelve fresh adult cadaver legs were injected with india ink or latex via the femoral artery and then meticulously dissected to evaluate the extraosseous blood supply. After all soft tissue was removed, the intraosseous blood supply was evaluated using a modified Spateholtz technique. The vascular structures at risk during posterior cruciate ligament reconstruction were also identified. The analysis of the extraosseous arterial supply demonstrated that the superior and inferior lateral genicular arteries combine to supply the lateral femoral condyle. The medial femoral condyle is supplied primarily by the superior medial genicular artery and other lesser branches of the popliteal artery. The intraosseous supply to the lateral condyle was shown to consist of an arcade of vessels providing multiple branches to the subchondral bone with no obvious “watershed” region of limited vascularity. The intraosseous supply to the medial condyle appeared to consist of a single nutrient vessel supplying the subchondral bone with an apparent watershed area of limited supply. A potentially significant difference exists between the intraosseous and extraosseous blood supply to the medial and lateral femoral condyles that may explain the higher frequency of ischemic events occurring in the medial femoral condyle. The close proximity of the extraosseous vessels to the medial femoral condyle and the standard femoral tunnel used during posterior cruciate ligament reconstruction may explain the occurrence of avascular necrosis after this procedure.

Vascular and Bone Regeneration of the Donor Site After Corticoperiosteal Flap From the Medial Femoral Condyle

Hand ◽  
2020 ◽  
pp. 155894472093029
Author(s):  
Matteo Guzzini ◽  
Domenico Lupariello ◽  
Giuseppe Argento ◽  
Leopoldo Arioli ◽  
Andrea Ferretti
Keyword(s):  
Magnetic Resonance ◽  
Blood Supply ◽  
Upper Limb ◽  
Femoral Condyle ◽  
Donor Site ◽  
Medial Femoral Condyle ◽  
Recipient Site ◽  
Medial Condyle ◽  
Genicular Artery

Background: The aim of this study was to evaluate the morbidity and regeneration of descending genicular artery and bone on the donor site, the medial condyle of the femur, after harvesting the corticoperiosteal flap and to report the clinical, functional, and radiographic outcomes of the treatment of atrophic nonunions of upper limb with corticoperiosteal vascularized flap at 5-year follow-up. Methods: From January 2011 to January 2018, 36 patients (average age of 45.8 years) were enrolled and evaluated with clinical and radiographic follow-up (average time of 66 months). In 20 patients, magnetic resonance angiography was also performed preoperatively and postoperatively to investigate the fate of the descending genicular artery after harvesting the corticoperiosteal flap. Results: Radiographic evaluation demonstrated a success rate of 94.4% (average time of bone healing of 5.2 months). At the recipient site, clinical evaluation showed excellent results in 75% to 80% of cases, and at the donor site, no statistical differences were found between before and after surgery clinical condition. In all patients who underwent magnetic resonance imaging, images showed a complete recovery of the blood supply of the medial femoral condyle. Conclusions: Medial condyle corticoperiosteal flap represents a valid choice for the treatment of upper limb nonunions. This technique brings a very low morbidity on the donor site, with complete restoration of blood supply and bone tissue. The limit of this flap is its low mechanical support, which suggests performing this technique especially for the treatment of upper limb nonunions.

Management of Osteochondritis Dissecans of the Knee

2014 ◽  
Vol 23 (3) ◽  
pp. 216-222 ◽  
Author(s):  
Simon M. Thompson ◽  
Mary Jones ◽  
Jonathon R. Lavelle ◽  
Andy Williams
Keyword(s):  
Blood Supply ◽  
Osteochondritis Dissecans ◽  
Femoral Condyle ◽  
Treatment Options ◽  
Current Treatment ◽  
Medial Femoral Condyle ◽  
Inferior Pole ◽  
Tibial Spine

The etiology of osteochondritis dissecans is hypothesized as repetitive microtrauma, resulting in an interruption of blood supply. Due to the location of the most common lesions on the medial femoral condyle, impingement of either the medial tibial spine or inferior pole of the patella against the adjacent medial femur may be responsible. It is much more common in athletic males than other groups. This article reviews the current treatment options for lesions around the knee.

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

Osteoarthritis of the patella, lateral femoral condyle and posterior medial femoral condyle correlate with range of motion

2013 ◽  
Vol 21 (11) ◽  
pp. 2584-2589 ◽  
Author(s):  
Takashi Suzuki ◽  
Sayaka Motojima ◽  
Shu Saito ◽  
Takao Ishii ◽  
Keinosuke Ryu ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Femoral Condyle ◽  
Medial Femoral Condyle ◽  
Lateral Femoral Condyle

scholarly journals The use of a free vascularized osteocuteanous flap from the medial femoral condyle for two separate cases of ulnar shaft nonunions in a single patient: A case report

2021 ◽  
Vol 6 ◽  
pp. 1-6
Author(s):  
Viviana M. Serra López ◽  
Brian A. Perez ◽  
Agnes Z. Dardas ◽  
L. Scott Levin
Keyword(s):  
Case Report ◽  
Femoral Condyle ◽  
Medial Femoral Condyle ◽  
Single Patient
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