THE EXPERIENCE OF APPLICATION OF A BLOOD SUPPLIED BONE FLAP FROM THE INNER CONDYLE OF THE THIGH BONE FOR RECONSTRUCTION OF THE BONE OF UPPER LIMB | Issues of reconstructive and plastic surgery. 2020. № 3 (74). DOI: 10.17223/1814147/74/04

THE EXPERIENCE OF APPLICATION OF A BLOOD SUPPLIED BONE FLAP FROM THE INNER CONDYLE OF THE THIGH BONE FOR RECONSTRUCTION OF THE BONE OF UPPER LIMB

Objective. A medial femoral condyle flap was first described in a nonfree version in 1989 by A.C. Masquelet. After 30 years journey, this flap has become one of the most popular vascularized bone flaps in the world, allowing to replace osteochondral defects, which is often necessary for reconstruction of the wrist joint. Material and methods. In the period from January 2016 to December 2019, 35 patients with non-unions and aseptic necrosis of the upper limb bones were treating surgical. All underwent bone grafting using a vascularized medial femoral trochlea flap. An osteochondral version of the flap from the unloaded surface of the knee was used in 19 (56%) patients, 16 (44%) - without cartilage. The age of the patients ranged from 23 to 61 years old. Results. According to computed tomography data bone consolidation occurred in 32 patients (91.5%) within (2.6 ± 0.5) months. Bone consolidation were not achieved in 8.5% of clinical cases and this led to salvage procedure were required. Conclusion. Resume all these advantages and disadvantages, a vascularized medial femoral condyle flap can be considered the first choice flap for the reconstruction of small bone defects (up to 4 cm) and osteochondral defects.

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Keywords

vascularised medial femoral condyle flap, medial femoral trochlea flap, vascularised bone grafting, scaphoid non-union, Kienbeck's disease, reconstruction of the wrist joint

Authors

Name	Organization	E-mail
Melnikov V.S.	City Clinical Hospital named after S.S. Yudin of the Moscow City Health Department	melnikovmd@mail.ru
Babaeva Yu.V.	I.M. Sechenov First Moscow State Medical University (Sechenov University)
Khentov A.A.	City Clinical Hospital named after S.S. Yudin of the Moscow City Health Department
Shishimorov A.A.	City Clinical Hospital No. 29 named after N.E. Bauman
Gubaidullina G.F.	M.V. Lomonosov Moscow State University

Всего: 5

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