Salvage of a Fractured Proximal Ulnar Osteoarticular Allograft Using a Medial Femoral Condyle Free Flap-Reference-Cited by-同舟云学术

Salvage of a Fractured Proximal Ulnar Osteoarticular Allograft Using a Medial Femoral Condyle Free Flap

Published:2023 Issue:3 Volume:13 Page:
ISSN:2160-3251
Container-title:JBJS Case Connector
language:en
Short-container-title:

Author:

Hoftiezer Yannick Albert J.¹²^ORCID,Posada Alvarez Carolina³^ORCID,Werenski Joseph O.⁴^ORCID,Schreuder H.W.B.⁵,Eberlin Kyle R.⁶⁷^ORCID,Lee Sang-Gil¹⁷,Lozano-Calderón Santiago A.⁴⁷^ORCID

Affiliation:

1. Hand and Arm Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts

2. Department of Plastic, Reconstructive and Hand Surgery, Radboud University Medical Center, Nijmegen, the Netherlands

3. Department of Orthopaedics, University Medical Center Groningen/University of Groningen, Groningen, the Netherlands

4. Orthopaedic Oncology Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts

5. Department of Orthopaedic Surgery, Radboud University Medical Center, Nijmegen, the Netherlands

6. Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, Massachusetts

7. Harvard Medical School, Boston, Massachusetts

Abstract

Case: We present the case of a 47-year-old paraplegic woman who underwent resection of an intermediate-grade chondrosarcoma in the proximal ulna, which was initially reconstructed with an osteoarticular allograft. However, after more than 25 years without complications, she sustained an intra-articular fracture of the allograft, which was then successfully treated using a vascularized medial femoral condyle (MFC) flap and anterolateral thigh flap. The patient has subsequently recovered her baseline elbow function, has no pain, and can use her wheelchair without restrictions. Conclusion: Free MFC flaps are viable options to salvage osteoarticular allografts that are affected by intra-articular fractures.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Orthopedics and Sports Medicine,Surgery

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