大腿骨内側上顆および内側滑車からの血管柄付き骨軟骨移植における挙上時の要点と栄養血管の解剖学的検討

DOI
  • 久能 隼人
    亀田総合病院整形外科上肢外科・外傷再建センター

書誌事項

タイトル別名
  • Tips for Elevation of Vascularized Bone and Osteochondral Graft from Medial Femoral Condyle and Trochlea

抄録

<p>  The free vascularized bone graft from the medial femoral condyle, first reported by Sakai et al. in 1991, was initially used as a periosteal bone graft for recalcitrant nonunion of the upper limb but was later reported to be useful for scaphoid nonunion. It is now widely used for various types of nonunion and avascular necrosis. Recently, a study reported that the cartilage morphology of the medial femoral trochlea resembles the proximal articular surface of the scaphoid and can be raised as a vascularized osteochondral graft. We have actively applied medial femoral condyle bone grafting to various cases of nonunion, including avascular necrosis of the scaphoid, since 2014, and performed cartilage reconstruction of the proximal part of the scaphoid and metacarpal head reconstruction by osteochondral grafting from the medial femoral trochlea since 2019. Herein, we report the key points and risks in the elevation of the vascularized bone and osteochondral graft from the medial femoral epicondyle and trochlea, and the characteristics of vascular anatomy of the DGA.</p>

収録刊行物

キーワード

詳細情報 詳細情報について

  • CRID
    1390299595850333696
  • DOI
    10.11270/jjsrm.37.11
  • ISSN
    21859949
    09164936
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
  • 抄録ライセンスフラグ
    使用不可

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