Abstract
The medial femoral condyle (MFC) flap represents a valid source of thin and pliable sheet of corticoperiosteal tissue with or without cancellous bone [1, 2]. The highly osteogenic nature of the periosteum combined with its excellent vascularity after microvascular transfer achieves a high success rate in many scenarios. Most common indications for the MFC flap include bone nonunions [3–5] with or without segmental bone loss and total bone and cartilage reconstruction [6, 7]. Flap variations can incorporate also cancellous bone, muscle, tendon, cartilage, and/or skin.
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References
Doi K, Hattori Y. Vascularized bone graft from the supracondylar region of the femur. Microsurgery. 2009;29(5):379–84.
Bürger H, Windhofer C, Gaggl A, Higgins J. Vascularized medial femoral trochlea osteocartilaginous flap reconstruction of proximal pole scaphoid nonunions. J Hand Surg Am. 2013;38(4):690–700.
Del Piñal F, García-Bernal F, Regalado J, Ayala H, Cagigal L, Studer A. Vascularised corticoperiosteal grafts from the medial femoral condyle for difficult non-unions of the upper limb. J Hand Surg Eur Vol. 2007;32(2):135–42.
Iorio ML, Masden DL, Higgins JP. Cutaneous angiosome territory of the medial femoral condyle osteocutaneous flap. J Hand Surg Am. 2012;37(5):1033–41.
Yamamoto H, Jones D, Moran SL, et al. The arterial anatomy of the medial femoral condyle and its clinical implications. J Hand Surg Eur Vol. 2010;35:569–74.
Hugon S, Koninckx A, Barbier O. Vascularized osteochondral graft from the medial femoral trochlea: anatomical study and clinical perspectives. Surg Radiol Anat. 2010;32(9):817–25. https://doi.org/10.1007/s00276-010-0629-1. Epub 2010 Feb 12
Fuchs B, Steinmann S, Bishop A. Free vascularized corticoperiosteal bone graft for the treatment of persistent nonunion of the clavicle. J Shoulder Elb Surg. 2005;14(3):264–8.
Cherubino M, et al. Medial femoral condyle free flap for nasal reconstruction: new technique for full-thickness nasal defects. Plast Reconstr Surg Glob Open. 2016;4(9):e855.
Ruston JC, Amin K, Darhouse N, Sivakumar B, Floyd D. The vascularized medial femoral corticoperiosteal flap for thumb reconstruction. Plast Reconstr Surg Glob Open. 2015;3(8):e492.
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Cherubino, M., Sallam, D., Tos, P.L. (2020). The Medial Femoral Condyle Flap. In: Pellini, R., Molteni, G. (eds) Free Flaps in Head and Neck Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-29582-0_12
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DOI: https://doi.org/10.1007/978-3-030-29582-0_12
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