title: The medial femoral trochlea flap with a monitor skin island-Report of two cases.
abstract: In this report, we present two cases of the bony reconstruction with the medial trochlea (MFT) flap including a skin island that was used to monitor the perfusion of flap in the postoperative period. Between March 2013 and April 2015, we performed surgery on two patients who suffered from scaphoid and talus non-union after trauma and initial treatment by osteosynthesis. A skin island (1 cm × 1 cm and 3 cm × 1 cm, respectively) was included with the osseous flap (1.6 cm × 1 cm × 1 cm and 2 cm × 3 cm × 2 cm, respectively) to assess the perfusion of the flap. The design of the skin island was based on either the saphenous artery perforator or a cutaneous perforator of the descending genicular artery. Both flaps remained viable throughout the postoperative period, and there were no donor site complications. After a follow-up of 36 and 11 months, bony union was observed in both patients with a high degree of satisfaction. Thus, a MFT flap with a skin island could be a tool to assess the perfusion of the flap in the early postoperative period. © 2016 Wiley Periodicals, Inc. Microsurgery 37:431-435, 2017.
authors: Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, 4031, Switzerland.
authors: M
authors: M
authors: Tremp
authors: Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, 4031, Switzerland.
authors: A
authors: A
authors: Haumer
authors: Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, 4031, Switzerland.
authors: R
authors: R
authors: Wettstein
authors: Department of Plastic and Reconstructive Surgery, School of Medicine, Shanghai Ninth People's Hospital, Shanghai JiaoTong University, Shanghai, China.
authors: Y X
authors: YX
authors: Zhang
authors: Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, 4031, Switzerland.|Department of Hand Surgery, Kantonsspital Baselland Liestal, Rheinstrasse 26, Liestal, 4410, Switzerland.
authors: P
authors: P
authors: Honigmann
authors: Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, 4031, Switzerland.
authors: D J
authors: DJ
authors: Schaefer
authors: Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, 4031, Switzerland.
authors: D F
authors: DF
authors: Kalbermatten
mesh_terms: D005260:Female; D005599:Fractures, Ununited / Q000601:surgery*; D058752:Free Tissue Flaps / Q000098:blood supply / Q000637:transplantation*; D006801:Humans; D007717:Knee; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D021361:Scaphoid Bone / Q000293:injuries* / Q000601:surgery; D013628:Talus / Q000293:injuries* / Q000601:surgery; D055815:Young Adult
keywords: compound flap; free flap; medial knee flap