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

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.