title: Reconstruction with vascularized medial femoral condyle flaps in hindfoot and ankle defects: a report of two cases.
abstract: In this article, we report using free vascularized medial femoral condyle (MFC) flaps for reconstruction of bone defects and nonunion of the hindfoot and ankle in two patients. One patient had an open calcaneal fracture and hindfoot bone defect with impaired gait due to Achilles tendon functional loss. The second patient had nonunion with a chondral defect of the talus after a fall. Following uneventful recoveries, good objective and subjective results were achieved in terms of pain reduction and improved gait in both patients. No further operative intervention was needed during a 3-year follow-up period. The versatility of the corticoperiosteal graft from the MFC makes it an important reconstructive tool for addressing several major surgical problems of bony nonunion in the extremities, including posttraumatic reconstruction of hindfoot and ankle disorders.
authors.affiliation: Trauma Center Unfallkrankenhaus Linz, University Teaching Hospital of the Paracelsus Medical University Salzburg, Linz, Austria.
authors.forename: Georg
authors.initials: G
authors.lastname: Mattiassich
authors.forename: Lucian Lior
authors.initials: LL
authors.lastname: Marcovici
authors.forename: Leopold
authors.initials: L
authors.lastname: Dorninger
authors.forename: Martina
authors.initials: M
authors.lastname: Kerschhagl
authors.forename: Heinz
authors.initials: H
authors.lastname: Buerger
authors.forename: Albert
authors.initials: A
authors.lastname: Kroepfl
authors.forename: Lorenz
authors.initials: L
authors.lastname: Larcher
mesh_terms: D000125:Achilles Tendon / Q000601:surgery; D000293:Adolescent; D000328:Adult; D016512:Ankle Injuries / Q000503:physiopathology / Q000601:surgery*; D000843:Ankle Joint / Q000503:physiopathology; D002111:Calcaneus / Q000293:injuries*; D050723:Fractures, Bone / Q000601:surgery*; D018460:Fractures, Comminuted / Q000601:surgery; D005597:Fractures, Open / Q000601:surgery; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013628:Talus / Q000293:injuries*