KEMPNÝ, Tomáš, Martin KNOZ, Břetislav LIPOVÝ, Jakub HOLOUBEK and Zdeněk DVOŘÁK. Use of medial femoral condyle flap and anterolateral thigh free flap in proxymal tibial posttraumatic non-union with multiple anastomosis - case report. Acta chirurgiae plasticae. Praha: Mladá fronta a.s., 2019, vol. 61, 1-4, p. 28-31. ISSN 0001-5423.
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Basic information
Original name Use of medial femoral condyle flap and anterolateral thigh free flap in proxymal tibial posttraumatic non-union with multiple anastomosis - case report
Authors KEMPNÝ, Tomáš (203 Czech Republic), Martin KNOZ (203 Czech Republic, guarantor, belonging to the institution), Břetislav LIPOVÝ (203 Czech Republic, belonging to the institution), Jakub HOLOUBEK (203 Czech Republic, belonging to the institution) and Zdeněk DVOŘÁK (203 Czech Republic, belonging to the institution).
Edition Acta chirurgiae plasticae, Praha, Mladá fronta a.s. 2019, 0001-5423.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30212 Surgery
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
WWW URL
RIV identification code RIV/00216224:14110/19:00120655
Organization unit Faculty of Medicine
Keywords in English Condyle; free flap; osteogenesis; lower extremity; osteomyelitis; tibial fracture
Tags rivok
Tags Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 10/6/2021 11:23.
Abstract
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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