title: Indications for the microvascular medial femoral condylar flap in craniomaxillofacial surgery.
abstract: The medial femoral condylar flap makes it possible to reconstruct bone, cartilage, and skin, but elongation of the pedicle is usually required to bridge the distances to the vascular connections in the neck. The indications in the maxillofacial area include reconstruction of the temporomandibular joint (TMJ), pseudarthrosis of the jaws, osteonecrosis of the jaws and skull, and augmentation of bone in irradiated or otherwise compromised tissue. If small bony defects require safe and reliable osseous, osteochondral, or osteocutaneous reconstruction, the medial femoral condylar flap can be used to fill the gap between small avascular, and larger microvascular, bone transplants.
authors.affiliation: Department of Oral, Maxillofacial and Facial Plastic Surgery, Ludwigshafen Hospital, Bremserstrasse 79, 67063 Ludwigshafen, Germany. Electronic address: thieleo@klilu.de.
authors.forename: Oliver Christian
authors.initials: OC
authors.lastname: Thiele
authors.affiliation: Department of Plastic and Reconstructive Surgery, Burn Center, Trauma Center, BG Ludwigshafen, Ludwig-Guttmann-Straße 13, 67071 Ludwigshafen, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Kremer
authors.affiliation: Department of Plastic and Reconstructive Surgery, Burn Center, Trauma Center, BG Ludwigshafen, Ludwig-Guttmann-Straße 13, 67071 Ludwigshafen, Germany.
authors.forename: Ulrich
authors.initials: U
authors.lastname: Kneser
authors.affiliation: Department of Oral, Maxillofacial and Facial Plastic Surgery, Ludwigshafen Hospital, Bremserstrasse 79, 67063 Ludwigshafen, Germany.
authors.forename: Robert Andreas
authors.initials: RA
authors.lastname: Mischkowski
mesh_terms: D000540:Alveolar Ridge Augmentation / Q000379:methods; D016025:Bone Transplantation / Q000379:methods*; D002356:Cartilage / Q000637:transplantation*; D005270:Femur Head / Q000601:surgery; D006801:Humans; D008336:Mandibular Diseases / Q000601:surgery; D008439:Maxillary Diseases / Q000601:surgery; D019647:Oral Surgical Procedures / Q000379:methods*; D010020:Osteonecrosis / Q000601:surgery; D011542:Pseudarthrosis / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply / Q000637:transplantation*; D013704:Temporomandibular Joint / Q000601:surgery; D060053:Transplant Donor Site / Q000601:surgery
keywords: Head and neck; Maxillofacial surgery; Medial femoral condylar flap; Reconstructive surgery