Publication details

Use of medial femoral condyle flap and anterolateral thigh free flap in proxymal tibial posttraumatic non-union with multiple anastomosis - case report

Authors

KEMPNÝ Tomáš KNOZ Martin LIPOVÝ Břetislav HOLOUBEK Jakub DVOŘÁK Zdeněk

Year of publication 2019
Type Article in Periodical
Magazine / Source Acta chirurgiae plasticae
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.prolekare.cz/en/journals/acta-chirurgiae-plasticae/2019-1-4-1/use-of-medial-femoral-condyle-flap-and-anterolateral-thigh-free-flap-in-proximal-tibial-posttraumatic-non-union-with-multiple-anastomosis-case-report-122023
Keywords Condyle; free flap; osteogenesis; lower extremity; osteomyelitis; tibial fracture
Description Fractures of the proximal tibia are high energy fractures. According to available literature, 3–4% of all fractures heal problematically with non-union or osteomyelitis. Usage of locking compression plating system as well as usage of hybrid fixator is associated with the risk of compartment syndrome, local infection and subsequent malunion, osteomyelitis or non- -union. We present a case of 30-year-old male suffering from posttraumatic non-union. The medial femoral condyle flap was selected due to its favourable properties providing a highly vascularised osteogenic tissue in combination with anterolateral thigh flap and Corlett loop. Our case report describes a reconstruction of a long weight-bearing bone. Despite the amount of anastomoses and usage of vein graft, the selected method of reconstruction seems to be safe and with a long-lasting benefit for the patient.

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