Published in:
01-09-2013 | Case Reports
Chronic thrombosis in the descending genicular artery during harvest of a medial femoral condyle corticocancellous flap: a case report
Authors:
Jonas L. Matzon, Tejas J. Patel, Ryan D. Katz, James P. Higgins
Published in:
HAND
|
Issue 3/2013
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Excerpt
Since its original description [
10], the vascularized medial femoral condyle (MFC) corticoperiosteal free flap has gained increased popularity due to its versatility and reliability. While the flap was initially proposed for small bone nonunions [
5], its favorable characteristics and osteogenic potential have led to its application in long bone nonunions [
4]. The advantages of this flap include minimal donor side morbidity, a long noncritical vascular pedicle, and relatively reliable anatomy [
7]. To date, there have been few disadvantages or complications of this flap reported in the literature. Those cited include persistent nonunion, seroma formation, knee pain, flap failure, and femur fracture [
1,
3]. We present the case of a chronic arterial thrombosis in the descending genicular artery (DGA) identified during the harvest of a MFC corticocancellous flap for a humeral nonunion. …