Treatment of Recalcitrant Femoral Shaft Nonunion With Medial Femoral Condyle Pedicled Autograft: Technical Trick. Issue 2 (February 2022)

• Record Type: Journal Article
• Authors: DeKeyser, Graham J.; Bailey, Travis L.; Higgins, Thomas F.; Tyser, Andrew R.
• Is Part Of: Journal of orthopaedic trauma. Volume 36:Issue 2(2022)
• Page Start: e80
• Page End: e80
• Publication Date: 2022-02
• Subjects: medial femoral condyle -- femur nonunion -- femur fracture -- pedicled flap -- descending genicular artery; Orthopedics -- Periodicals; Wounds and injuries -- Periodicals; Orthopedics -- Periodicals; Wounds and Injuries -- therapy -- Periodicals; Periodicals; 617.47044
• DOI: 10.1097/BOT.0000000000002186
• Languages: English
• ISSNs: 0890-5339

Abstract

Abstract : Supplemental Digital Content is Available in the Text. Summary: Nonunited fractures of the femoral shaft and distal femur are usually successfully addressed with stabilization with or without autogenous bone grafting. For the small subset of these problems that prove recalcitrant to front-line treatment, a pedicled medial femoral condyle (MFC) bone flap can provide a source of vascularized autograft with minimal donor site morbidity. The MFC has gained recent widespread adoption as a free vascularized bone transfer, and here, we present a surgical technique and retrospective analysis of patients treated with a pedicled MFC technique. This serves as a useful treatment option for these difficult problems and may be especially helpful in low resource environments or where microsurgical anastomosis is not feasible.