Informace o publikaci

Use of medial femoral condyle flap and anterolateral thigh free flap in proxymal tibial posttraumatic non-union with multiple anastomosis - case report

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KEMPNÝ Tomáš KNOZ Martin LIPOVÝ Břetislav HOLOUBEK Jakub DVOŘÁK Zdeněk

Rok publikování 2019
Druh Článek v odborném periodiku
Časopis / Zdroj Acta chirurgiae plasticae
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
www https://www.prolekare.cz/en/journals/acta-chirurgiae-plasticae/2019-1-4-1/use-of-medial-femoral-condyle-flap-and-anterolateral-thigh-free-flap-in-proximal-tibial-posttraumatic-non-union-with-multiple-anastomosis-case-report-122023
Klíčová slova Condyle; free flap; osteogenesis; lower extremity; osteomyelitis; tibial fracture
Popis Fractures of the proximal tibia are high energy fractures. According to available literature, 3–4% of all fractures heal problematically with non-union or osteomyelitis. Usage of locking compression plating system as well as usage of hybrid fixator is associated with the risk of compartment syndrome, local infection and subsequent malunion, osteomyelitis or non- -union. We present a case of 30-year-old male suffering from posttraumatic non-union. The medial femoral condyle flap was selected due to its favourable properties providing a highly vascularised osteogenic tissue in combination with anterolateral thigh flap and Corlett loop. Our case report describes a reconstruction of a long weight-bearing bone. Despite the amount of anastomoses and usage of vein graft, the selected method of reconstruction seems to be safe and with a long-lasting benefit for the patient.

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