Abstract
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.
Original language | English (US) |
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Pages (from-to) | E80-E86 |
Journal | Journal of orthopaedic trauma |
Volume | 36 |
Issue number | 2 |
DOIs | |
State | Published - Feb 1 2022 |
Externally published | Yes |
Keywords
- Descending genicular artery
- Femur fracture
- Femur nonunion
- Medial femoral condyle
- Pedicled flap
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine