Medial femoral trochlea flap reconstruction: Clinical outcomes and perspectives

Noor Alolabi, Andrew J. Lovy, Alexander Y. Shin, Allen T. Bishop

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
DOIs
StateAccepted/In press - 2021

Keywords

  • Clinical outcomes and perspectives
  • Medial femoral trochlea flap
  • Reconstruction

ASJC Scopus subject areas

  • Surgery

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