The use of a free vascularized osteocuteanous flap from the medial femoral condyle for two separate cases of ulnar shaft nonunions in a single patient: A case report

Viviana M. Serra López, Brian A. Perez, Agnes Z. Dardas, L. Scott Levin
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Abstract

The free vascularized osteocutaneous flap from the medial femoral condyle is an attractive option for limb salvage given its low donor morbidity site and reliable vascular supply. Its use was originally described for the use of nonunions with small bony defects and has shown reliable results for a variety of reconstructive needs.

We present a case of a female patient who underwent two free vascularized corticoperiosteal medial femoral condyle grafts to her right ulna during two separate surgeries for treatment of consecutive ulnar shaft nonunions. The patient had a prior malignant soft tissue tumor resection of her forearm followed by chemotheraphy and radiation, which presented unique challenges during their course of limb salvage. Six months after the most recent procedure, the patient has a functional limb and no evidence of nonunion on imaging.

使用游离带血管的股骨内侧髁骨皮瓣治疗尺骨不连的两例病例:一例报告
股骨内侧髁带血管的游离骨皮皮瓣是一种有吸引力的残肢修复选择,因为它的供体发病率低,血管供应可靠。它的应用最初被描述为用于小骨缺损的骨不连,并显示出各种重建需求的可靠结果。我们报告了一位女性患者,她在两次独立的手术中接受了两次带血管的皮质骨膜内侧股骨髁移植到她的右尺骨上,以治疗连续的尺干不连。该患者曾在前臂进行过恶性软组织肿瘤切除术,随后进行了化疗和放疗,这在他们的肢体保留过程中提出了独特的挑战。最近一次手术后6个月,患者肢体功能正常,影像学检查无骨不连迹象。
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