Department of Hand Surgery, Affiliated Hospital of Nantong University, 20 West Temple Road, Nantong 226001, Jiangsu, China.
Plastic Surgery, University of Florence Careggi University Hospital, CTO, Largo Palagi 150139, Florence, Italy.
Clin Plast Surg. 2020 Oct;47(4):501-520. doi: 10.1016/j.cps.2020.06.005.
Vascularized small-bone grafting is an efficient and often necessary surgical approach for nonunion or necrosis of several bones in particular sites of the body, including scaphoid, lunate, distal ulna, and clavicle. The medial femoral condyle is an excellent graft source that can be used in treating scaphoid, ulna, clavicle, or lower-extremity bone defects, including nonunion. Vascularized bone grafting to the small bones, particularly involving reconstruction of damaged cartilage surfaces, should enhance subchondral vascular supply and help prevent cartilage regeneration. Vascularized osteoperiosteal and corticoperiosteal flaps are useful for treating nonunion of long bones.
带血管骨移植是治疗腕舟骨、月骨、尺骨、锁骨和下肢骨缺损（包括骨不连）等特定部位的骨不连或坏死的有效且常需的手术方法。股内侧髁是一种极好的移植物来源，可用于治疗舟状骨、尺骨、锁骨或下肢骨缺损，包括骨不连。带血管的小骨移植，特别是涉及受损软骨表面重建的，应增强软骨下血管供应，并有助于防止软骨再生。带血管的骨膜和骨皮质骨瓣对于治疗长骨骨不连很有用。
