Vascularized medial femoral condyle corticoperiosteal flaps for the treatment of recalcitrant humeral nonunions
- 25 January 2011
- journal article
- research article
- Published by Wiley in Microsurgery
- Vol. 31 (2), 85-92
- https://doi.org/10.1002/micr.20843
Abstract
Background: Several methods have been used in the management of humeral nonunions. With the advent of modern microsurgical techniques, vascularized bone grafting is becoming increasingly used to improve local biology. We report our experience in the use of a vascularized corticoperiosteal bone flap from the medial femoral supracondylar region in the treatment of recalcitrant humeral nonunions. Methods: A retrospective review was performed of all patients treated with this technique over a 4-year period within our institution. Patient demographics, nonunion characteristics, complications, and long-term outcomes were analyzed. Results: Six patients underwent vascularized periosteal graft reconstruction. Prior to this, all had failed an average of three procedures with the length of nonunion ranging from 6 to 68 months. All six nonunions healed by an average of 6.8 months (range 2–12 months). Two patients required additional secondary procedures. Functional outcome improved in all patients as adjudged by disabilities of the arm, shoulder, and hand, Mayo elbow performance, and Constant Murley scores. Conclusions: The vascularized medial femoral condyle corticoperiosteal flap provides an additional treatment option for the management of humeral nonunions. © 2011 Wiley-Liss, Inc. Microsurgery, 2011.Keywords
This publication has 34 references indexed in Scilit:
- Treatment of Chronic Nonunions of the Humerus with Free Vascularized Fibula Transfer: A Report of Thirteen CasesJournal of Reconstructive Microsurgery, 2008
- Free vascularized corticoperiosteal bone graft for the treatment of persistent nonunion of the clavicleJournal of Shoulder and Elbow Surgery, 2005
- Free Fibula Flap-Donor-Site Morbidity: Case Report and Review of the LiteratureJournal of Reconstructive Microsurgery, 2002
- Vascularized Periosteum Associated with Cancellous Bone GraftPlastic and Reconstructive Surgery, 1990
- Periosteal flaps: Anatomical bases of sites of elevationSurgical and Radiologic Anatomy, 1990
- The reverse flow medial knee osteoperiosteal flap for skeletal reconstruction of the legSurgical and Radiologic Anatomy, 1989
- A Clinical Method of Functional Assessment of the ShoulderClinical Orthopaedics and Related Research, 1987
- Fate of Vascularized and Nonvascularized AutograftsPublished by Ovid Technologies (Wolters Kluwer Health) ,1985
- Healing Patterns of Metaphyseal FracturesClinical Orthopaedics and Related Research, 1981
- REVASCULARIZED PERIOSTEAL GRAFTS—A NEW METHOD TO PRODUCE FUNCTIONAL NEW BONE WITHOUT BONE GRAFTINGPlastic and Reconstructive Surgery, 1978