Scopus
🔓 Açık Erişim YÖKSİS Eşleşti
Treatment of recalcitrant femur nonunion with pedicled corticoperiosteal medial femoral condyle flap
Scientific Reports · Aralık 2023
YÖKSİS Kayıtları
Treatment of recalcitrant femur nonunion with pedicled corticoperiosteal medial femoral condyle flap
Scientific Reports · 2023 SCI-Expanded
DOKTOR ÖĞRETİM ÜYESİ EBUBEKİR ERAVŞAR →
Treatment of recalcitrant femur nonunion with pedicled corticoperiosteal medial femoral condyle flap
Springer Science and Business Media LLC · 2023 SCI-Expanded
DOÇENT SELİM SAFALI →
Treatment of recalcitrant femur nonunion with pedicled corticoperiosteal medial femoral condyle flap
Springer Science and Business Media LLC · 2023 SCI-Expanded
DOÇENT ALİ ÖZDEMİR →
Makale Bilgileri
DergiScientific Reports
Yayın TarihiAralık 2023
Cilt / Sayfa13
Scopus ID2-s2.0-85177467939
Erişim🔓 Açık Erişim
Özet
Periosteal or osteoperiosteal medial femoral condyle (MFC) flaps may be good options for atrophic nonunion. The aim of this study was to evaluate the effectiveness and safety of pedicled MFC flap in the treatment of recalcitrant femur nonunion without bone defect. Thirteen patients (11 male and 2 female), who suffered recalcitrant femur nonunion and were treated with pedicled osteoperiosteal MFC flap between January 2014 and April 2018, were included in this study. Patient files were reviewed retrospectively. Atrophic or recalcitrant 2/3 distal femoral nonunion were the indications for this clinical procedure. Demographics and operative data, flap size, visual analog scale (VAS) score, time to union, and complications were evaluated. A total of 13 patients underwent femur nonunion treatment with MFC flap after an average of 3.4 previous surgical procedures. The median age was 34 (Q1: 32.5, Q3:43) years old. The mean flap size was 4.3 × 6.4 cm, all nonunions healed in a median 5 months (Q1: 4.5, Q3: 6). There were an intraoperative knee medial collateral ligament injury in a patient, hematoma in a patient, and seroma in two patients. The median length of the follow-up was 40 months (Q1: 30, Q3: 47). There wasn’t any additional complication in long-term follow-up. Functional outcomes were satisfactory. The median preoperative VAS score was 7 (Q1: 6, Q3: 9.5), decreasing to 1 (Q1: 0, Q3: 1) at the 6-month follow-up, and further reducing to 0 (Q1: 0, Q3: 1) at the 24-month follow-up. The nonunion period ranged from 6 to 18 months. The pedicled MFC flap is a good option for recalcitrant femur nonunion where larger vascularized flaps are not warranted. It is easy to harvest, does not require microvascular anastomosis, is effective, and offers minimal donor site morbidity.
Yazarlar (5)
1
Ali Özdemir
ORCID: 0000-0002-8835-9741
2
Egemen Odabaşı
ORCID: 0000-0003-0160-8504
3
Ebubekir Eravşar
ORCID: 0000-0003-2940-604X
4
Selim Safali
5
Mehmet Ali Acar
Kurumlar
Konya Beyhekim Training and Research Hospital
Konya Turkey
Konya City Hospital
Konya Turkey
Selçuk Üniversitesi
Selçuklu Turkey
Metrikler
3
Atıf
5
Yazar