Quintero Jorge I, Childs Dylan, Moreno Rodrigo
Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY, USA.
Division of Hand Surgery, Department of Surgery, School of Medicine, University of Louisville, Louisville, KY, USA.
SAGE Open Med Case Rep. 2020 Jun 29;8:2050313X20933763. doi: 10.1177/2050313X20933763. eCollection 2020.
The use of the medial femoral condyle free flap is a versatile option for the treatment of upper extremity non unions and reconstructive procedures associated with bone loss or osteonecrosis. The benefit of this type of flap is the viability of the bone which favors primary ossification and increases bone density. Vascularized free bone flaps are especially useful for the treatment of recalcitrant nonunions, or nonunions that have failed three or more treatments to obtain consolidation. We present a case series of three patients treated with medial femoral condyle free flap for reconstruction of the upper extremity of different etiologies at the level of the distal humerus, distal radius and distal phalanx of the thumb.
使用股骨内侧髁游离皮瓣是治疗上肢骨不连以及与骨质缺损或骨坏死相关的重建手术的一种通用选择。这种皮瓣的优点是骨的活性，有利于一期骨化并增加骨密度。带血管蒂的游离骨皮瓣对于治疗顽固性骨不连或经过三次或更多次治疗仍未获得骨愈合的骨不连特别有用。我们展示了一个病例系列，三名患者接受了股骨内侧髁游离皮瓣治疗，以重建不同病因导致的肱骨远端、桡骨远端和拇指远节指骨水平的上肢。
