Segmental bony defect of the proximal phalanx in the great toe reconstructed by free vascularized bone graft from the supracondylar region of the femur: a case report.
We report the case of a 24-year-old man with a segmental bone defect of the proximal phalanx of the great toe that was successfully reconstructed by free vascularized bone graft (FVBG) from the supracondylar region of the femur after initial stabilization with external fixation and temporary antibiotic-impregnated bone cement. His functional outcome at 22 months follow-up was excellent. On the basis of this experience, FVBG from the supracondylar region of the femur can be used as an option for treating segmental bone defects of the great toe.
Nakamura
Koushin
K
Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Sagamihara, Japan [corrected]
Yokoyama
Kazuhiko
K
Wakita
Ryuji
R
Itoman
Moritoshi
M
D000063:Accidents, Traffic; D000328:Adult; D000792:Angiography; D016025:Bone Transplantation / Q000379:methods*; D016267:External Fixators; D005269:Femur / Q000098:blood supply / Q000637:transplantation*; D005500:Follow-Up Studies; D018409:Foot Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005592:Fracture Fixation / Q000379:methods*; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D013524:Surgical Flaps / Q000098:blood supply*; D050277:Toe Phalanges / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D015599:Trauma Severity Indices