Vascularized medial femoral condyle graft for thumb metacarpal reconstruction: case report.
The vascularized medial femoral condyle bone graft has many clinical applications. It can be harvested as a thin, pliable, corticoperiosteal graft and wrapped around recalcitrant nonunions in long bones to achieve osseous union. It can also be harvested as a small, structural, corticocancellous graft and used to treat small defects such as scaphoid avascular nonunion. We present a case of thumb metacarpal osteomyelitis resulting in a large segmental osseous defect. Reconstruction was performed using a large, structural, vascularized bone graft from the medial femoral condyle.
Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St Louis, MO, USA.
Douglas M
DM
Sammer
Allen T
AT
Bishop
Alexander Y
AY
Shin
D000328:Adult; D001860:Bone Plates; D016025:Bone Transplantation / Q000379:methods*; D005500:Follow-Up Studies; D017102:Fracture Healing / Q000502:physiology; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery*; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D050279:Metacarpal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D008662:Metacarpophalangeal Joint / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D008866:Microsurgery / Q000379:methods*; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D013933:Thumb / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D014057:Tomography, X-Ray Computed