Treatment of a Femur Nonunion with Microsurgical Corticoperiosteal Pedicled Flap from the Medial Femoral Condyle
Joint Authors
Ferretti, Andrea
Guzzini, Matteo
Civitenga, Carolina
Ferri, Germano
Guidi, Marco
Calderaro, Cosma
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-03-15
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
The vascularized corticoperiosteal flap is harvested from the medial femoral condyle and it is nourished by the articular branch of the descending genicular artery and the superomedial genicular artery.
This flap is usually harvested as a free flap for the reconstruction of bone defects at forearm, distal radius, carpus, hand, and recently at lower limb too.
Case Report.
A 50-year-old Caucasian man referred to our department for hypertrophic nonunion of the distal femur, refractory to the conservative treatments.
The first surgical choice was the revision of the nail and the bone reconstruction with a corticoperiosteal pedicled flap from the medial femoral condyle.
We considered union to have occurred 3.5 months after surgery when radiographs showed bridging of at least three of the four bony cortices and clinically the patient was able to walk with full weight bearing without any pain.
At the last follow-up (25 months), the patient was completely satisfied with the procedure.
Discussion.
The corticoperiosteal flap allows a faster healing of fractures with a minimal morbidity at the donor site.
We suggest that the corticoperiosteal pedicled flap graft is a reliable and effective treatment for distal femur nonunion.
American Psychological Association (APA)
Guzzini, Matteo& Calderaro, Cosma& Guidi, Marco& Civitenga, Carolina& Ferri, Germano& Ferretti, Andrea. 2016. Treatment of a Femur Nonunion with Microsurgical Corticoperiosteal Pedicled Flap from the Medial Femoral Condyle. Case Reports in Orthopedics،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101998
Modern Language Association (MLA)
Guzzini, Matteo…[et al.]. Treatment of a Femur Nonunion with Microsurgical Corticoperiosteal Pedicled Flap from the Medial Femoral Condyle. Case Reports in Orthopedics No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1101998
American Medical Association (AMA)
Guzzini, Matteo& Calderaro, Cosma& Guidi, Marco& Civitenga, Carolina& Ferri, Germano& Ferretti, Andrea. Treatment of a Femur Nonunion with Microsurgical Corticoperiosteal Pedicled Flap from the Medial Femoral Condyle. Case Reports in Orthopedics. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101998
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101998