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Medial Femoral Condyle Corticocancellous Flap for Treatment of Scaphoid Nonunion

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Operative Dictations in Plastic and Reconstructive Surgery


Free vascularized corticocancellous flap from the medial femoral condyle based on the descending genicular artery was described by Sakai, and Doi et al., and separately by Masquelet in 1991 (Sakai et al., Plast Reconstr Surg 87:290–298, 1991; Masquelet, Plast Reconstr Surg 88:1106, 1991). Since then, the application of this free flap has broadened the surgeon’s armamentarium to successfully treat nonunions of the clavicle, tibia, humerus, mandible, and scaphoid (Friedrich et al. 7:45–54, 2012). The success of this flap has been attributed to its robust blood supply (Rogers and Gladstone. J Bone Joint Surg Am 32-A:4:867–874, 1950). Originally described as a small corticoperiosteal tubular bone flap, it has been frequently employed as a living patch to recalcitrant nonunions and necrosis of larger bones because it provides adequate living cells and growth factors. This chapter describes the use to the free corticocancellous bone flap for the reconstruction of scaphoid nonunion associated with avascular necrosis and humpback deformity. Indications, preoperative markings, surgical steps, postoperative care, complications, operative dictation, and suggested readings are included.

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  1. Sakai K, Doi K, Kawai S. Free vascularized thin corticoperiosteal graft. Plast Reconstr Surg. 1991;87:290–8.

    Article  CAS  PubMed  Google Scholar 

  2. Masquelet A. Free vascularized corticoperiosteal grafts. Plast Reconstr Surg. 1991;88:1106.

    Article  CAS  PubMed  Google Scholar 

  3. Friedrich J, Pederson W, Bishop A, Galaviz P, Chang J. New workhorse flaps in hand reconstruction. Hand. 2012;7:45–54.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Rogers WM, Gladstone H. Vascular foramina and arterial supply of the distal end of the femur. J Bone Joint Surg Am. 1950;32-A(4):867–74.

    Article  PubMed  Google Scholar 

  5. Hamada Y, Hibino N, Kobayashi A. Expanding the utility of modified vascularized femoral periosteal bone-flaps: An analysis of its form and a comparison with conventional-bone-graft. J Clin Orthop Trauma. 2014;5:6–17.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Jones D, Shin A. Medial femoral condyle vascularized bone grafts for scaphoid nonunions. Chirurgie de la main. 2010;29S:S93–103.

    Article  Google Scholar 

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Correspondence to Tuan Anh Tran M.D., M.B.A. .

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Tran, T.A., Bayne, C.O. (2017). Medial Femoral Condyle Corticocancellous Flap for Treatment of Scaphoid Nonunion. In: Anh Tran, T., Panthaki, Z., Hoballah, J., Thaller, S. (eds) Operative Dictations in Plastic and Reconstructive Surgery. Springer, Cham.

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  • Print ISBN: 978-3-319-40629-9

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