Mandibular reconstruction using a free vascularised osteocutaneous flap from the internal condyle of the femur.
The authors present a preliminary report of a new microsurgical mandibular reconstruction procedure using a segment of the internal condyle of the femur as a free vascularised bone graft. It is possible to harvest a compound flap including a bony segment measuring 8 X 1.5 X 1.5 cm and a cutaneous saphenous flap with its nutrient pedicle arising from the descending genicular artery and vein. This surgical procedure provides a good cortico-cancellous bony segment and a separate skin flap. Dissection of the flap is sometimes difficult due to the inconsistency of its vascular anatomy; the donor site is left with minimal morbidity but, because of weakening of the femur, our patients are instructed not to return to full weight-bearing before the sixth postoperative week. We consider segmental reconstruction of the mandibular body to be one of the best indications for the flap.
Department of Plastic and Reconstructive Surgery, Hôpital du Tondu, Bordeaux, France.
D
D
Martin
C
C
Bitonti-Grillo
J
J
De Biscop
H
H
Schott
J M
JM
Mondie
J
J
Baudet
G
G
Peri
D000328:Adult; D016025:Bone Transplantation; D001842:Bone and Bones / Q000098:blood supply; D005260:Female; D005269:Femur; D006801:Humans; D008297:Male; D008338:Mandibular Injuries / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*; D014948:Wounds, Gunshot / Q000601:surgery*