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Reconstruction with vascularized medial femoral condyle flaps in hindfoot and ankle defects: A report of two cases
Author(s) -
Mattiassich Georg,
Marcovici Lucian Lior,
Dorninger Leopold,
Kerschhagl Martina,
Buerger Heinz,
Kroepfl Albert,
Larcher Lorenz
Publication year - 2014
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.22286
Subject(s) - medicine , ankle , nonunion , surgery , reduction (mathematics) , microsurgery , condyle , achilles tendon , tendon , geometry , mathematics
In this article, we report using free vascularized medial femoral condyle (MFC) flaps for reconstruction of bone defects and nonunion of the hindfoot and ankle in two patients. One patient had an open calcaneal fracture and hindfoot bone defect with impaired gait due to Achilles tendon functional loss. The second patient had nonunion with a chondral defect of the talus after a fall. Following uneventful recoveries, good objective and subjective results were achieved in terms of pain reduction and improved gait in both patients. No further operative intervention was needed during a 3‐year follow‐up period. The versatility of the corticoperiosteal graft from the MFC makes it an important reconstructive tool for addressing several major surgical problems of bony nonunion in the extremities, including posttraumatic reconstruction of hindfoot and ankle disorders. © 2014 Wiley Periodicals, Inc. Microsurgery 34:576–581, 2014.