Vascularized periosteal bone graft from the supracondylar region of the femur
- 1 January 1994
- journal article
- case report
- Published by Wiley in Microsurgery
- Vol. 15 (5), 305-315
- https://doi.org/10.1002/micr.1920150505
Abstract
Free, vascularized thin corticoperiosteal grafts and small pe‐riosteal bone grafts harvested from the supracondylar region of the femur are described. These grafts are nourished from the articular branch of the descending genicular artery and vein. Thin corticoperiosteal grafts consist of periosteum with a thin layer of outer cortical bone and include the cambium layer, which has a better osteogenic capacity. This graft is elastic and readily conforms to the recipient bed configuration. Thin corticoperiosteal grafts were used to treat 11 patients with fracture non‐union of an upper extremity that had no massive bone defects. Early, rapid union occurred in all patients except three: one in which the anastomosed vessel became obstructed and two in which the internal fixation of the fracture was unsecured. The small bone grafts consist of periosteum, full thickness cortex, and the underlying cancellous bone. This graft can be successfully harvested without disturbing the vascularity, unlike the currently used vascularized bone grafts. This graft was used to treat three patients with avascular necrosis of the body of the talus and could prevent the necrotic talus body from progressive collapse in patients in early stages of the disease. One patient with an infectious bone defect of the first metatarsal bone was successfully treated by vascularized bone graft with an accompanying skin flap.Keywords
This publication has 22 references indexed in Scilit:
- Free Vascularized Thin Corticoperiosteal GraftPlastic and Reconstructive Surgery, 1991
- Vascularized Transfer of the Adductor Magnus Tendon and Its Osseous Insertion: A Preliminary ReportJournal of Reconstructive Microsurgery, 1985
- Superiority of the Deep Circumflex Iliac Vessels as the Supply for Free Groin Flaps Clinical WorkPlastic and Reconstructive Surgery, 1979
- Bone Formation by Revascularized Periosteal and Bone Grafts, Compared With Traditional Bone GraftsPlastic and Reconstructive Surgery, 1979
- Total Rhinoplasty with a Free Osteocutaneous FlapPlastic and Reconstructive Surgery, 1979
- ONE-STAGE REPAIR OF COMPOUND LEG DEFECTS WITH FREE, REVASCULARIZED FLAPS OF GROIN SKIN AND ILIAC BONEPlastic and Reconstructive Surgery, 1978
- REVASCULARIZED PERIOSTEAL GRAFTS—A NEW METHOD TO PRODUCE FUNCTIONAL NEW BONE WITHOUT BONE GRAFTINGPlastic and Reconstructive Surgery, 1978
- FREE OSTEOCUTANEOUS FLAP FROM A RIB TO THE TIBIAPlastic and Reconstructive Surgery, 1977
- THE FREE VASCULARIZED BONE GRAFTPlastic and Reconstructive Surgery, 1975
- A NEW CONCEPT OF CAPILLARY CIRCULATION IN BONE CORTEX: Some Clinical ApplicationsThe Lancet, 1961