Tips for Elevation of Vascularized Bone and Osteochondral Graft from Medial Femoral Condyle and Trochlea
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- KUNO Hayato
- Department of Orthopedic Surgery, The Center for Upper Extremity Surgery and Orthopedic Trauma Reconstruction, Kameda Medical Center
Bibliographic Information
- Other Title
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- 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
Abstract
<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>
Journal
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- Journal of Japanese Society of Reconstructive Microsurgery
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Journal of Japanese Society of Reconstructive Microsurgery 37 (1), 11-18, 2024
Japanese Society of Reconstructive Microsurgery
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Keywords
Details 詳細情報について
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- CRID
- 1390299595850333696
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- ISSN
- 21859949
- 09164936
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- Text Lang
- ja
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- Data Source
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- JaLC
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- Abstract License Flag
- Disallowed