Use of a Free Medial Femoral Condyle Periosteal Flap in Digital Reconstruction - A Report of Two Patients

J Hand Surg Asian Pac Vol. 2022 Jun;27(3):594-597. doi: 10.1142/S2424835522720201.

Abstract

We reconstructed a segmental bone defect in a finger associated with a dorsal skin defect using a bone graft covered with a free medial femoral condyle periosteal flap and a skin graft in two patients. The vascularised periosteal flap (VPF) improved the survival of the bone graft and allowed the take of the skin graft. The use of a VPF can be considered in patients with crush injury of the digits with segmental loss of bone and dorsal skin Level of Evidence: Level V (Therapeutic).

Keywords: Bone graft; Composite digital defect; Free periosteal flap; Medial condyle free flap; Skin graft.

Publication types

  • Case Reports

MeSH terms

  • Bone Transplantation
  • Bone and Bones
  • Femur / surgery
  • Femur / transplantation
  • Free Tissue Flaps*
  • Humans
  • Skin Transplantation