Journal article
Corticoperiosteal medial femoral condyle flap for recalcitrant nonunion in ankle and foot: Outcomes and radiological evaluation of donor site morbidity.
- Politikou O Division of Plastic Surgery and Hand Surgery, University Hospital Zurich, Rämistrasse 100, 8091 Zürich, Switzerland. Electronic address: olgapolitikou@meduniwien.ac.at.
- Wirth S Division Foot and Ankle Surgery, Orthopaedics Department, University Hospital Balgrist, Forchstrasse 340, 8008 Zurich, Switzerland. Electronic address: stephan.wirth@balgrist.ch.
- Giesen T Division of Plastic Surgery and Hand Surgery, University Hospital Zurich, Rämistrasse 100, 8091 Zürich, Switzerland. Electronic address: thomas.giesen@gmail.com.
- Guggenberger R Division of Plastic Surgery and Hand Surgery, University Hospital Zurich, Rämistrasse 100, 8091 Zürich, Switzerland. Electronic address: roman.guggenberger@usz.ch.
- Giovanoli P Division of Plastic Surgery and Hand Surgery, University Hospital Zurich, Rämistrasse 100, 8091 Zürich, Switzerland. Electronic address: pietro.giovanoli@usz.ch.
- Calcagni M Division of Plastic Surgery and Hand Surgery, University Hospital Zurich, Rämistrasse 100, 8091 Zürich, Switzerland. Electronic address: maurizio.calcagni@usz.ch.
- 2020-02-19
Published in:
- Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons. - 2020
Ankle arthrodesis
Bone flap
Donor site morbidity
Foot arthrodesis
Medial femoral condyle
Recalcitrant nonunion
English
BACKGROUND
The aim of this study was to evaluate the effectiveness and safety of free corticoperiosteal medial femoral condyle (MFC) flap for ankle, hindfoot and midfoot reconstruction in patients with recalcitrant nonunion.
METHODS
Patients who underwent ankle and foot reconstruction using the MFC flap at our clinic were recruited for assessment of the union rate, time to union and functional outcome. Furthermore, a clinical and radiological examination of the donor knee was performed using both computed tomography and magnetic resonance imaging.
RESULTS
Thirteen patients with a mean follow-up time of 2.5 years were included; 10 of them had a previously failed ankle and foot arthrodesis. Union was achieved in 11 patients in an average time of 10 months after MFC flap surgery. Donor site morbidity was minor with no radiological evidence for soft tissue or bone complication.
CONCLUSION
MFC flaps are a useful and safe reconstructive tool and may be considered after failed ankle and foot arthrodesis.
The aim of this study was to evaluate the effectiveness and safety of free corticoperiosteal medial femoral condyle (MFC) flap for ankle, hindfoot and midfoot reconstruction in patients with recalcitrant nonunion.
METHODS
Patients who underwent ankle and foot reconstruction using the MFC flap at our clinic were recruited for assessment of the union rate, time to union and functional outcome. Furthermore, a clinical and radiological examination of the donor knee was performed using both computed tomography and magnetic resonance imaging.
RESULTS
Thirteen patients with a mean follow-up time of 2.5 years were included; 10 of them had a previously failed ankle and foot arthrodesis. Union was achieved in 11 patients in an average time of 10 months after MFC flap surgery. Donor site morbidity was minor with no radiological evidence for soft tissue or bone complication.
CONCLUSION
MFC flaps are a useful and safe reconstructive tool and may be considered after failed ankle and foot arthrodesis.
- Language
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- English
- Open access status
- closed
- Identifiers
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- DOI 10.1016/j.fas.2019.12.008
- PMID 32067885
- Persistent URL
- https://sonar.ch/global/documents/47598
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