Case-Report: Freie, kombinierte osteo-tendo-kutane Lappenplastik vom Femur Kondylus zur Defektdeckung am Vorfuss

Zusammenfassung

Wir berichten über den erstmalig veröffentlichten Fall einer freien, kombinierten osteo-tendo-cutanen Lappenplastik aus der medialen Femur Kondylen-Region zur Defektdeckung nach IV. gradig offener Fraktur des I. Mittelfußknochens mit deutlichem Knochen- und Weichteildefekt am dorso-medialen Vorfuß.

Abstract

For the first time we present the case of a microsurgical reconstruction with an osteo-tendo-cutaneous free flap harvested from the medial femoral condyle for the coverage of a bone-tendon-soft tissue defect of the foot.�

Schlüsselwörter

Osteo-tendo-kutane Lappenplastik - Mikrochirurgie - medialer Femur Kondylus

Key words

osteo-tendo-cutanous flap - microsurgery - medial femoral condyle

• Literatur

• 1 Masquelet AC, Romana MC, Penteado CV. Vascularized periosteal grafts. In: Aebi M, Regazzoni P. (eds.) Bone transplantation. Springer; Berlin: 1989. 259-269
• 2 Doi K, Sakai K. Vascularized periosteal bone graft from the supracondylar region of the femur. Microsurgery 1994; 15: 305-315
• 3 Bürger KH, Gaggl AJ, Kukutschki W et al. Das freie mikrovaskuläre Femurtransplantat zur Behandlung der avaskulären Kahnbeinnekrose. Handchir Mikrochir Plast Chir 2009; 41: 44-51
• 4 Iorio ML, Masden DL, Higgins JP. Cutaneous Angiosome Territory of the Medial Femoral Condyle Osteocutaneous Flap. J Hand Surg Am Apr 4 2012;
• 5 Hugon S, Koninckx A, Barbier O. Vascularized osteochondral graft from the medial femoral trochlea: anatomical study and clinical perspectives. Surg Radiol Anat 2010; 32: 817-825
• 6 Martin D, Bitonti-Grillo C, De Biscop J et al. Mandibular reconstruction using a free vascularised osteocutaneous flap from the internal condyle of the femur. British Journal of Plastic Surgery 1991; 44: 397-402
• 7 Pelzer M, Reichenberger M, Germann G. Osteo-periosteal-cutaneous flaps of the medial femoral condyle: a valuable modification for selected clinical situations. Journal of Reconstructive Microsurgery 2010; 26: 291-294
• 8 Rahmanian-Schwarz A, Spetzler V, Amr A et al. A composite osteomusculocutaneous free flap from the medial femoral condyle for reconstruction of complex defects. J Reconstr Microsurg 2011; 27: 251-260
• 9 Katz RD, Parks BG, Higgins JP. The axial stability of the femur after harvest of the medial femoral condyle corticocancellous flap: a biomechanical study of composite femur models. Microsurgery 2012; 32: 213-218