USE OF MEDIAL FEMORAL CONDYLE FLAP AND ANTEROLATERAL THIGH FREE FLAP IN PROXIMAL TIBIAL POSTTRAUMATIC NON-UNION WITH MULTIPLE ANASTOMOSIS - CASE REPORT
Jazyk angličtina Země Česko Médium print
Typ dokumentu kazuistiky, časopisecké články
PubMed
32380840
PII: 122023
Knihovny.cz E-zdroje
- Klíčová slova
- Condyle, Osteomyelitis, free flap, lower extremity, osteogenesis, tibial fracture,
- MeSH
- anastomóza chirurgická MeSH
- dospělí MeSH
- femur chirurgie transplantace MeSH
- fraktury tibie chirurgie MeSH
- lidé MeSH
- nezhojené fraktury chirurgie MeSH
- stehno MeSH
- tibie chirurgie transplantace MeSH
- vény transplantace MeSH
- volné tkáňové laloky * MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- 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.