期刊
JOURNAL OF ORTHOPAEDIC TRAUMA
卷 36, 期 2, 页码 E80-E86出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/BOT.0000000000002186
关键词
medial femoral condyle; femur nonunion; femur fracture; pedicled flap; descending genicular artery
Nonunited fractures of the femoral shaft and distal femur can be successfully treated with stabilization, but for difficult cases, a pedicled medial femoral condyle (MFC) bone flap can provide vascularized autograft. This technique has gained widespread adoption and can be particularly helpful in low-resource environments or when microsurgical anastomosis is not possible.
Nonunited fractures of the femoral shaft and distal femur are usually successfully addressed with stabilization with or without autogenous bone grafting. For the small subset of these problems that prove recalcitrant to front-line treatment, a pedicled medial femoral condyle (MFC) bone flap can provide a source of vascularized autograft with minimal donor site morbidity. The MFC has gained recent widespread adoption as a free vascularized bone transfer, and here, we present a surgical technique and retrospective analysis of patients treated with a pedicled MFC technique. This serves as a useful treatment option for these difficult problems and may be especially helpful in low resource environments or where microsurgical anastomosis is not feasible.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据