A vascularised bone graft from the medial femoral condyle for recurrent failed arthrodesis of the distal interphalangeal joint

Vascularized Medial Femoral Condyle Graft for Thumb Metacarpal Reconstruction: Case Report

“…16 Its use as a structural graft in the hand has been limited to the treatment of small defects such as scaphoid avascular nonunions and small phalangeal defects. 14,17 This case demonstrates that vascularized structural corticocancellous bone graft can be harvested from the MFC …”

“…In the hand, small, structural, MFC corticocancellous grafts have been used to treat avascular scaphoid nonunion [12][13][14] and to achieve union of a nonhealing distal interphalangeal arthrodesis. 17 When the MFC has been used as a structural, vascularized graft, its size has been limited to small defects such as those at scaphoid nonunions. We present a case of thumb metacarpal reconstruction using a relatively large (3-cm), structural, vascularized MFC bone graft.…”

Vascularized Bone Blocks From the Toe Phalanx to Solve Complex Intercalated Defects in the Fingers

“…Only small bone blocks from the iliac crest and the medial femoral condyle have been transferred to the hand reliably. 14,15,27 Unfortunately the skin component of those 2 flaps is too bulky for a finger. Vascularized corticoperiosteal flaps have been suggested to avoid the problem of bulkiness and for better matching to the upper-limb bone defect.…”

Cutaneous Angiosome Territory of the Medial Femoral Condyle Osteocutaneous Flap

“…Since its initial clinical descriptions in 1991, [3][4][5] the MFC flap has been used in a multitude of different anatomic locations to address challenging cases of nonunion or avascular necrosis. It has been successfully used in the clavicle, 6,7 humerus, 4,7-10 radius, 7,10 -12 ulna, 8,10,11,13 metacarpals, 4,14 femur, 7 tibia, 7,8,15,16 phalanges, 17 carpal and tarsal bones, 4,15,18 -21,33 orbit, 22 maxilla/ mandible, 5,23,24 and skull. 3 Despite the growing number of indications, little investigation has been focused on this flap as an osteocutaneous skin-bearing flap.…”