Work

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

Year: 2023

Type: article

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.

Source: JBJS Case Connector

DOI: 10.2106/jbjs.cc.22.00796

Authors: Yannick Albert J. Hoftiezer, Carolina Posada Alvarez, Joseph O. Werenski, H.W.B. Schreuder, Kyle R. Eberlin, Sang-Gil Lee, Santiago A. Lozano-Calderón

Institutions: Radboud University Medical Center, Massachusetts General Hospital, University Medical Center Groningen, University of Groningen, Harvard University

Language: English

Topic: Reconstructive Surgery and Microvascular Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W4385489511

FWCI: 0.252

Cites: 26

Cited by: 1

Related to: 10