TY - JOUR
T1 - Medial femoral trochlea flap reconstruction
T2 - Clinical outcomes and perspectives
AU - Alolabi, Noor
AU - Lovy, Andrew J.
AU - Shin, Alexander Y.
AU - Bishop, Allen T.
N1 - Funding Information:
None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript. None.
Publisher Copyright:
© 2021 Elsevier Ltd
PY - 2021/9
Y1 - 2021/9
N2 - Introduction: We report our experience with use of the medial femoral trochlea (MFT) osteochondral flap for carpal applications. Methods: Outcomes of all patients treated with MFT flaps were reviewed. Healing, range of motion, grip strength, carpal alignment, pain, and complication data were collected. Results: MFT flaps were performed on seven patients with a mean age of 26.1 (range, 17–42) years. Indications included scaphoid proximal pole nonunion (n = 3), Kienböck's disease (n = 3), and Preiser's disease (n = 1). The mean follow-up was 32.3 (range, 5–70) months. Union was achieved in five patients at a mean of 12 (range 6–22) weeks. All five patients had increased grip strength and absence of pain at follow-up. There were two failures due to graft resorption. Conclusions: The MFT osteochondral flap is a technically challenging yet powerful tool to replace the loss of both carpal articular cartilage and adjacent bone.
AB - Introduction: We report our experience with use of the medial femoral trochlea (MFT) osteochondral flap for carpal applications. Methods: Outcomes of all patients treated with MFT flaps were reviewed. Healing, range of motion, grip strength, carpal alignment, pain, and complication data were collected. Results: MFT flaps were performed on seven patients with a mean age of 26.1 (range, 17–42) years. Indications included scaphoid proximal pole nonunion (n = 3), Kienböck's disease (n = 3), and Preiser's disease (n = 1). The mean follow-up was 32.3 (range, 5–70) months. Union was achieved in five patients at a mean of 12 (range 6–22) weeks. All five patients had increased grip strength and absence of pain at follow-up. There were two failures due to graft resorption. Conclusions: The MFT osteochondral flap is a technically challenging yet powerful tool to replace the loss of both carpal articular cartilage and adjacent bone.
KW - Clinical outcomes and perspectives
KW - Medial femoral trochlea flap
KW - Reconstruction
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U2 - 10.1016/j.bjps.2020.12.063
DO - 10.1016/j.bjps.2020.12.063
M3 - Article
C2 - 33455866
AN - SCOPUS:85099592002
SN - 1748-6815
VL - 74
SP - 1991
EP - 1998
JO - Journal of Plastic, Reconstructive and Aesthetic Surgery
JF - Journal of Plastic, Reconstructive and Aesthetic Surgery
IS - 9
ER -