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Use of medial femoral condyle flap and anterolateral thigh free flap in proximal tibial posttraumatic non-union with multiple anastomosis - case report [Použití mediální kondylu femuru jako volného laloku a anterolaterálního stehenního laloku doplněného žilním štěpem v léčbě posttraumatické osteomyelitidy proximální tibie - kazuistika]
T. Kempný, M. Knoz, B. Lipový, J. Holoubek, Z. Dvořák
Jazyk angličtina Země Česko
Typ dokumentu kazuistiky
- MeSH
- dospělí MeSH
- fraktury tibie * chirurgie patologie MeSH
- kosti a kostní tkáň chirurgie MeSH
- lidé MeSH
- osteogeneze MeSH
- osteomyelitida chirurgie MeSH
- volné tkáňové laloky MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
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.
Department of Burns and Reconstructive Surgery University Hospital Brno Czech Republic
Department of Plastic and Aesthetic Surgery St Anne´s University Hospital Brno Czech Republic
Department of Plastic and Reconstructive Surgery Klinikum Wels Grieskirchen Austria
Použití mediální kondylu femuru jako volného laloku a anterolaterálního stehenního laloku doplněného žilním štěpem v léčbě posttraumatické osteomyelitidy proximální tibie - kazuistika
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- $a Použití mediální kondylu femuru jako volného laloku a anterolaterálního stehenního laloku doplněného žilním štěpem v léčbě posttraumatické osteomyelitidy proximální tibie - kazuistika
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- $a 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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