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Bone and Periosteal Flap Transplantation

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Microsurgical Orthopedics

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Abstract

Bone graft is defined as the osseous tissue with intact blood supply (Fig. 11.1). In 1955, Davies et al. successfully performed hip fusion using iliac bone graft pedicled with tensor fasciae latae muscle. In 1962, Judet reported a successful transfer of femoral trochanter pedicled with quadratus femoris muscle as a treatment for femoral neck fracture. This vascularized bone tissue is capable of accelerating fracture healing, but its clinical application is limited by insufficient blood supply of its clumsy muscle pedicle and relatively small scope of local transposition. In 1973, Mccullough was the first to report his experimental success using microvascular technique to transfer a rib bone graft to the dog mandible. In 1975, Taylor firstly reported his experience with a free vascularized fibular transfer, marking the beginning of modern era of bone graft. Since then, it has been successfully employed in reconstruction of long bone, mandible and femoral head.

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Bibliography

  1. Taylor IG, Miller GDH, Ham FJ. The free vascularized bone graft. Plast Reconstr Surg. 1975;55(5):533–44.

    Article  CAS  PubMed  Google Scholar 

  2. Taylor GI. Tissue defects in the limbs: replacement with free vascularized tissue transfers. Aust N Z J Surg. 1977;47(3):276–84.

    Article  CAS  PubMed  Google Scholar 

  3. Chen ZW. New method of treatment of congenital pseudarthrosis of the tibia—the preliminary report 12 cases of fibular graft. J Surg. 1979;17:147.

    Google Scholar 

  4. Chen ZG. Retrospect and prospect of bone graft. Chin J Microsurg. 2002;23:15–6.

    CAS  Google Scholar 

  5. Wu YM, Ding XZ. Relationship between 100 cases of peroneal artery and fibula blood supply. Anat Newspaper. 1981;12(1):20–7.

    Google Scholar 

  6. Chen YL, et al. Fibula blood supply (anatomical study of free vascularized fibular graft). Anat Newspaper. 198l;12:13–9.

    Google Scholar 

  7. Guo F. Study of fibula blood supply. Chin J Surg. 1978;16:347.

    Google Scholar 

  8. Tan S, Yu GR, Chen ZG, et al. Applied anatomy sural neurovascular island flap. Chin J Clin Anatomy. 2000;18(2):130.

    Google Scholar 

  9. Chen ZW, Ron C, Zhang GJ, et al. Treatment of tibial defect with fibula bone flap pedicled transposition. Chin J Surg. 1988;26:32.

    CAS  PubMed  Google Scholar 

  10. Chen ZW, et al. The study and clinical application of the osteocutaneous flap of fibula. J Microsurg. 1983;11(4):11.

    Article  CAS  Google Scholar 

  11. Zhang FH, Chen ZG, Xu CD, et al. Applied anatomy of transposition of calcaneus bone flap with vascular pedicle flap to treat talus fracture repair. Chin J Clin Anatomy. 1992;4:244–7.

    Google Scholar 

  12. Macewen WI. Intrahuman bone grafting and reimplantation of bone. Ann Surg. 1909;50(6):959–68.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. de Boer HH. The history of bone grafts. Clin Orthop Relat Res. 1988;226:292–8.

    Google Scholar 

  14. Davis RF, Jones LC, Hungerford DS. The effect of sympathectomy on blood flow in bone. J Bone Joint Surg Am. 1987;69:1384.

    Article  CAS  PubMed  Google Scholar 

  15. Taylor GI, Muller GDH, Ham FJ. The free vascularized bone graft. A clinical extension of microvasur techniques. Plast Reconstr Surg. 1975;55:553.

    Google Scholar 

  16. Huang GK, Liu ZZ, Shen YL, et al. Microvascular free transfer of iliac bone based on the deep circumflex iliac vessels. J Microsurg. 1980;2:113–20.

    Article  CAS  PubMed  Google Scholar 

  17. Zhu SX. Modern microsurgery. Hunan: Hunan Science and Technology Press; 1994. p. 392–400.

    Google Scholar 

  18. Fan YE. Free vascularized iliac bone graft raised on the superior gluteal artery and vein. J Jiamusi Med Coll. 1980;1:6.

    Google Scholar 

  19. Chen ZG, Xu DC, Zhong SZ, et al. The iliac bone graft pedicled with ascending branch of lateral femoral circumflex vessel. Chin J Exp Surg. 1985;2:54–6.

    Google Scholar 

  20. Yang LM, Guo JH, Shi WY, et al. The anatomical study and clinical application of the parascapular flap. Med J Chin People’s Liberation Army. 1983;8:326–8.

    Google Scholar 

  21. Yang LM, et al. Free vascularized scapular osteocutaneous flap grafts. Med J Chin Peoples Liberation Army. 1983;8:253.

    Google Scholar 

  22. Xu DC, Chen ZG, Zhong SZ, et al. Anatomic basis and clinical application of the scapular graft with the scapular branch of the thoracodorsal artery. Chin J Microsurg. 1987;10:226.

    Google Scholar 

  23. Xu DC, Zhong SZ. Applied anatomy of reconstruction for the proximal and middle bony defect of humerus with scapular transfer pedicled with the scapular branch of the thoracodorsal vessel (A new vessel pedicle). Chin J Reparat Reconstr Surg. 1988;2:236.

    Google Scholar 

  24. Chen ZG, Xu DC, Peng JQ, et al. The scapular graft and transfer pedicled with the scapular branch of the thoracodorsal vessel. Chin J Reparat Reconstr Surg. 1988;3:5–7.

    Google Scholar 

  25. Wu RX, Chen ZG, Peng JQ, et al. The microsurgical and anatomic study of the scapular spine graft. Chin J Exp Surg. 1990;7:169–70.

    Google Scholar 

  26. Chen ZG, Peng JQ, Yu GR, et al. The scapular spine bone graft pedicled with scapular spine branch of transverse cervical vessel. Chin J Exp Surg. 1991;8:145.

    Google Scholar 

  27. Wang B, Chen ZG, Chen XQ, et al. Anatomic basis of the mandible reconstruction with scapular spine bone graft with scapular spine branch of transverse cervical vessel. Chin J Reparat Reconstr Surg. 1999;13:145–7.

    CAS  Google Scholar 

  28. Chen ZG, Yu GR, Chen LB, et al. Applied anatomy of the scapular spine bone graft pedicled with infraspinous branch of suprascapular artery. Chin J Clin Anatomy. 1993;11:297.

    Google Scholar 

  29. Chen ZG, Yu GR, Chen LB, et al. The scapular spine bone graft pedicled with infraspinous branch of suprascapular artery. Chin J Microsurg. 1994;17:191–2.

    CAS  Google Scholar 

  30. Taylor GI, et al. Superiority of the deep circumflex vessels as the supply for free groin flaps. Clinical work. Plast Reconstr Surg. 1979;64:745.

    Article  CAS  PubMed  Google Scholar 

  31. Chen ZW. Treatment of avascular necrosis of adult femoral head with iliac bone flap pedicled with iliac deep vascular pedicle. Chin J Microsurg. 1986;9:74.

    Google Scholar 

  32. Bitter K, Danai T. The iliac bone or osteocutaneous transplant pedicled to the deep circumflex iliac artery. I. Anatomical and technical considerations. J Maxillofac Surg. 1983;11(5):195–200.

    Article  CAS  PubMed  Google Scholar 

  33. Chang H, Nobuaki I, Minabe T, Nakajima H. Comparison of three different supercharging procedures in a rat skin flap model. Plast Reconstr Surg. 2004;113(1):277–83.

    Article  PubMed  Google Scholar 

  34. Xu CD, Chen ZG, Zhong SZ, et al. Applied anatomy of iliac bone grafts with anastomotic lateral femoral vessels. J Microbiol. 1985;8(2):96–8.

    Google Scholar 

  35. Chen ZG, Xu DC, Zhong SZ, et al. The iliac bone grafts with the lateral esophagus. Chin J Exp Surg. 1985;3:54–6.

    Google Scholar 

  36. Zhang FH, Zheng HP, Li FH, et al. Anatomy and application of transposition of iliac bone flap pedicled with extensor fascia and lumbar fascia. J Bone Joint Injury. 1993;8:79–81.

    Google Scholar 

  37. Zhao DW, Wang BJ, Wang WM, et al. Evaluation of hemodynamic changes by digital subtraction angiography after treatment of avascular osteonecrosis of femoral head with vascularized bone flaps. Zhonghua Yi Xue Za Zhi. 2006;86(7):438–41.

    PubMed  Google Scholar 

  38. Fan YE, et al. Free iliac bone graft with buttocks on the veins. J Jiamusi Med Coll. 1980;1:6.

    Google Scholar 

  39. Miao H, Huang GK. Applied anatomy and free iliac bone transplantation in the treatment of hip. Anat Bull. 1982;5:304.

    Google Scholar 

  40. Mairesse JL, Mestdagh H, Bailleul JP, Depreux R. Contribution to the study of the vascularization of the fascia lata tensor muscle. Acta Anat (Basel). 1981;110(3):270–6.

    Article  CAS  Google Scholar 

  41. Huang GK, Hu RQ, Miao H, et al. Microvascular free transfer of iliac bone based on the deep superior branches of the superior gluteal vessels. Plast Reconstr Surg. 1985;75(1):68–74.

    Article  CAS  PubMed  Google Scholar 

  42. Ahmadzadeh R, Bergeron L, Tang M, Morris SF. The superior and inferior gluteal artery perforator flaps. Plast Reconstr Surg. 2007;120(6):1551–6.

    Article  CAS  PubMed  Google Scholar 

  43. Zhang FH, Liu JN, Zhong GW, et al. Applied anatomy of transposition of femoral osteoperiosteal flap pedicled with perforating artery of deep femoral vessels. Chin J Microsurg. 1997;20(2):126–8.

    Google Scholar 

  44. Chen XQ, Wang ZY, Li GW, et al. Applied anatomy of femoral osteoperiosteal flap pedicled with deep femoral vessels. Chin J Clin Anatomy. 1994;12(3):171–2.

    Google Scholar 

  45. Doi K, Sakai K. Vascularized periosteal bone graft from the supracondylar region of the femur. Microsurgery. 1994;15(5):305–15.

    Article  CAS  PubMed  Google Scholar 

  46. Penteado CV, Masquelet AC, Romana MC, et al. Periosteal flaps: anatomical bases of sites of elevation. Surg Radiol Anat. 1990;12(1):3–7.

    Article  CAS  PubMed  Google Scholar 

  47. Hertel R, Masquelet AC. The reverse flow medial knee osteoperiosteal flap for skeletal reconstruction of the leg. Description and anatomical basis. Surg Radiol Anat. 1989;11(4):257–62.

    Article  CAS  PubMed  Google Scholar 

  48. Zhang FH, Zheng HP, Zhong GW. Applied anatomy of transplantation with the periosteal flap of the middle part of femur. Chin J Anat. 1994;17(5):383–4.

    Google Scholar 

  49. Zhong GW, Zhang FH, Zheng HP. Middle-femoral periosteal flap: anatomy and clinical application. Chin J Clin Anatomy. 1994;12(3):174–5.

    Google Scholar 

  50. Chen ZG, Yu GR, Zheng HP, et al. Clinical application for transposition of the pedicled anterolateral femoral periosteal flap. Chin J Microsurg. 2004;27(1):21–3.

    Google Scholar 

  51. Zheng H, Wang H, Zhang F, Yue S. Anatomic basis of perforator flaps of medial vastus muscle. Microsurgery. 2008;28(1):61–4.

    Article  PubMed  Google Scholar 

  52. Chen ZG, Yu GR, Chen LB. Transposing the great trochanter bone flap pedicled with the deep branch of the medial circumflex artery in repair of necrotic femoral head. Natl Med J China. 1994;74(9):560–1.

    CAS  Google Scholar 

  53. Dou ZX, Chen ZG, Chen XQ, et al. Applied anatomy of reparing neck of femur with greater trochanter flap. Chin J Clin Anatomy. 1988;6(4):208–10.

    Google Scholar 

  54. Chen ZG, Peng JQ, Yu GR, et al. Clinical application of vascular pedicle greater trochanter bone flap transposition. Chin J Microsurg. 1992;15(4):207–9.

    Google Scholar 

  55. Yamamoto Y, Ohura T, Sugihara T. An anatomic study for a vascularized bone flap of femur. Plast Reconstr Surg. 1995;95(3):520–5.

    Article  CAS  PubMed  Google Scholar 

  56. Zhenyu P, Aixi Y, Go-Rong Y, et al. Treatment of serious femoral neck fractures with the transposition of vascularized greater trochanter bone flap in young adults. J Reconstr Microsurg. 2011;27(5):303–8.

    Article  PubMed  Google Scholar 

  57. Zhao DW, Sui GZ, Du GJ, et al. Applied anatomy of the transverse branch of lateral femoral circumflex artery in the transfer of greater trochanter bone flap. Chin J Clin Anatomy. 1994;12(2):92–4.

    Google Scholar 

  58. Zhao DW, Du GJ, Guo L, et al. Apply of transposition of greater trochanter bone flap pedicled with branch of transverse lateral circumflex femoral vascular to repair the femoral head. J Bone Joint Inj. 1994;9(1):74–6.

    Google Scholar 

  59. Lin X, Tang YH, Tao SQ, et al. Anatomic study of greater trochanter flap with the transverse branch of lateral circumflex femoral artery. Chin J Clin Anatomy. 1995;13(2):94–6.

    Google Scholar 

  60. Zhong GW, Zheng HP, Zhang FH, et al. Anatomy and application of the greater trochanter bone flap pedicled with the transverse branch of lateral circumflex artery in the repairing of the upper and middle defects of femoral. Chin J Clin Anatomy. 1996;14(3):231–3.

    Google Scholar 

  61. Chen XQ, Wang ZY, Li GW, et al. Applied anatomy of the femoral osteoperiosteal flap pedicled with the descending genicular vessels. Chin J Microsurg. 1994;17(2):134–59.

    Google Scholar 

  62. Chen ZG, Chen XQ, Yu GR, et al. Transposition of medial femoral condylus osteoperiosteal flap pedicled with the descending genicular vessels. Chin J Microsurg. 1998;21(3):174–5.

    CAS  Google Scholar 

  63. Xu DC, Zhong SZ. Practical clinical applied anatomy of bone defect. 1st ed. Beijing: Chinese Medical Science and Technology Press; 2000. p. 360–4.

    Google Scholar 

  64. Chen LL, Lan BJ, Zheng M. Applied anatomy of leg defect repair by great adductor muscle tendon bone flap with descending genicular artery. Chin J Clin Anatomy. 2000;18(2):106–9.

    Google Scholar 

  65. Ye Y, Chen XQ, Li GL, et al. Applied anatomy of the medial condyle femoral and tibial periosteal flap pedicled with descending genicular vessels for repair of femur’s nonunion. Chin J Anat Clin. 2001;6(2):73–5.

    Google Scholar 

  66. Gao JM, Xu DC, Chen ZG, et al. Applied anatomy of Achilles tendon defect repair by great adductor muscle tendon combined tissue flaps with vascular anastomosis. Chin J Clin Anat. 2000;18(2):102–4.

    Google Scholar 

  67. Qin DY, Zhong SZ, Li ZH. Applied anatomy of mandible reconstructed by medial condyle femoral bone flap transplantation. Chin J Clin Anatomy. 1995;13(4):245–7.

    Article  Google Scholar 

  68. Huang D, Wang HW, DC X, Wang HG, Wu WZ, Zhang HR. An anatomic and clinical study of the adductor magnus tendon-descending genicular artery bone flap. Clin Anat. 2011;24(1):77–83.

    Article  PubMed  Google Scholar 

  69. Masquelet AC, Nordin JY, Guinot A. Vascularized transfer of the adductor magnus tendon and its osseous insertion: a preliminary report. J Reconstr Microsurg. 1985;1(3):169–76.

    Article  CAS  PubMed  Google Scholar 

  70. Pelzer M, Reichenberger M, Germann G. Osteo-periosteal-cutaneous flaps of the medial femoral condyle: a valuable modification for selected clinical situations. J Reconstr Microsurg. 2010;26(5):291–4.

    Article  PubMed  Google Scholar 

  71. Yu AX, Chen ZG, Yu GR, et al. Repair of humeral fracture and non-union with transfer of vascularized periosteal flap. Chin J Reparat Reconstr Surg. 2001;15(5):310–1.

    CAS  Google Scholar 

  72. Yu AX, Chen ZG, Yu GR, et al. Applied anatomy of distal humerus periosteo-cutaneous flap pedicled with collateralis radialis vessels. Chin J Exp Surg. 1995;12(6):368.

    Google Scholar 

  73. Chen ZGG, Yu GR, Yu AX, et al. Transposition of the distal humeral osteoperiosteal flap pedicled with the radial collateral artery. Chin J Microsurg. 1995;18(3):190.

    Google Scholar 

  74. Liang MY, Dai M, Li JF, et al. Clinical utilization of transposition of medial tibia periosteum flap pedicled with intramuscular branch of posterior tibial vessels. China J Orthop. 2002;15(3):142–3.

    Google Scholar 

  75. Liu H, Ye CY, Yu GR. Clinical application of the medial multiplex flap pedicled with the posterior tibial vessel. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2001;15(3):147–9. Chinese

    CAS  PubMed  Google Scholar 

  76. Fealy MJ, Most D, Struck S, et al. Femur lengthening with a vascularized tibia bone flap. Ann Plast Surg. 1996;37(2):140–6.

    Article  CAS  PubMed  Google Scholar 

  77. Zhang FH, Chen ZG, Zhen HP, et al. Applied anatomy for the transfer of medial tibial periosteal flap pedicled with the intermuscular septum nramcjes of posterior tibia vessels. Chin J Clin Anatomy. 1996;14(4):259–61.

    Google Scholar 

  78. Yang SH, Wang F, Sun WH, et al. Applied anatomy of knee descending artery and its clinical significance. Cina Acad J. 1984;2(4):245.

    Google Scholar 

  79. Xu WH, Zhang FH, Liu JN, et al. Applied anatomy of reversed femoral osteoperiosteal flap and vascular anastomosis in upper medial leg. J Fujian Med Univ. 1997;31(4):396.

    Google Scholar 

  80. Chen ZG, Chen XQ, Yu AX, et al. Transposition of medial femoral condylus osteoperiosteal flap pedicled with the descending genicular vessels. China Acad J. 1998;21(3):174.

    CAS  Google Scholar 

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  1. Department of Orthopaedics, Central South Hospital, Wuhan University, Wuhan, Hubei, China

    Aixi Yu

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  1. Orthopedic Hospital, Xijing Hospital Fourth Military Medical University, Xi’an, China

    Guoxian Pei

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Yu, A. (2019). Bone and Periosteal Flap Transplantation. In: Pei, G. (eds) Microsurgical Orthopedics. Springer, Dordrecht. https://doi.org/10.1007/978-94-024-1625-1_11

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  • DOI: https://doi.org/10.1007/978-94-024-1625-1_11

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