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

Free-Vascularized Medial Femoral Condyle Bone Transfer in the Treatment of Scaphoid Nonunions

“…14,27,34,35,37 Given the success of these grafts in the treatment of scaphoid nonunions with minimal complications, their use in addressing other clinical scenarios requiring a vascularized structural corticocancellous graft is promising. 39 The importance of correcting scaphoid humpback deformity and restoring blood supply in the setting of avascular necrosis has been well documented. 6 The free vascularized medial femoral condyle graft provides both structural support to correct deformity and blood supply to promote union in the subset of patients with both scaphoid collapse and proximal pole avascular necrosis.…”

Medial Femoral Condyle Flap Donor-Site Morbidity

“…1 More recent clinical series have also demonstrated the use of this as a corticocancellous semistructural flap. These studies have included small corticocancellous segments of 1 to 3 cm 2, 3 and intermediate corticocancellous segments 4,5 for 4-cm defects. Some centers have begun to use these flaps as corticocancellous segments of very large dimensions from 5 to 10 cm in length.…”

Reconstruction of an Entire Metacarpal and Metacarpophalangeal Joint Using a Fibular Osteocutaneous Free Flap and Silicone Arthroplasty

“…Other free vascularized bone grafts that have been described for reconstruction of segmental bony defects of the metacarpals include the iliac crest based on the deep circumflex iliac artery, 22,23 scapula based on the circumflex scapular artery, 24,25 and the medial femoral condyle based on the descending genicular artery. 26 None of these vascularized bone grafts have been used to reconstruct a metacarpal defect involving the MCP joint.…”