Free microvascular transfer of segmental corticocancellous femur for reconstruction of the alveolar ridge.
In seven patients with deficiency of the alveolar ridge of the maxilla or mandible the defect was covered with the help of a microvascular corticocancellous transplant of femur. The defects to be corrected measured 3-10 cm long, 1.5-4 cm wide, and 1-1.5 cm high. The microvascular pedicle was between 4 and 10 cm long. The descending genicular artery was anastomosed to the facial or labial superior artery and the accompanying veins accordingly. There were no serious complications and no transplant was lost. In all patients the defect was covered by the correct size and design. All patients were treated with dental implants six months after successful reconstruction of the ridge. The microvascular osteoperiosteal femur transplant can be used successfully in individual reconstruction of segmental defects of the alveolar ridge.
Gaggl
Alexander J
AJ
Department of Oral and Maxillofacial Surgery, General Hospital/LKH Klagenfurt, Klagenfurt, Austria. Electronic address: Alexander.Gaggl@lkh-klu.at.
Bürger
Heinz K
HK
Department of Trauma Surgery, General Hospital/LKH Klagenfurt, Klagenfurt, Austria.
Chiari
Friedrich M
FM
Department of Oral and Maxillofacial Surgery, General Hospital/LKH Klagenfurt, Klagenfurt, Austria.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000539:Alveolar Process / Q000098:blood supply / Q000000981:diagnostic imaging / Q000601:surgery*; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D000714:Anastomosis, Surgical / Q000379:methods; D003758:Dental Implantation, Endosseous / Q000379:methods; D005260:Female; D005269:Femur / Q000098:blood supply / Q000637:transplantation*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D010147:Pain Measurement; D010512:Periodontal Index; D011859:Radiography; D016896:Treatment Outcome