Medial Femoral Trochlea Osteochondral Flap: Applications for Scaphoid and Lunate Reconstruction

James P. Higgins; Heinz K. Bürger

doi:10.1016/j.cps.2020.06.004

Medial Femoral Trochlea Osteochondral Flap: Applications for Scaphoid and Lunate Reconstruction

James P. Higgins, Heinz K. Bürger

Research output: Contribution to journal › Review article › peer-review

1 Scopus citations

Abstract

Vascularized osteochondral flaps are a new technique described for the reconstruction of challenging articular defects of the carpus. The medial femoral trochlea osteochondral flap is supplied by the descending geniculate artery. This osteochondral flap has shown promise in the treatment of recalcitrant scaphoid proximal pole nonunions and advanced avascular necrosis of the lunate. The anatomy, surgical technique, and results are discussed, with clinical cases provided.

Original language	English (US)
Pages (from-to)	491-499
Number of pages	9
Journal	Clinics in Plastic Surgery
Volume	47
Issue number	4
DOIs	https://doi.org/10.1016/j.cps.2020.06.004
State	Published - Oct 2020
Externally published	Yes

Keywords

Descending geniculate artery
Kienböck disease
Medial femoral condyle
Medial femoral trochlea
Osteochondral flap
Scaphoid nonunion
Vascularized bone

ASJC Scopus subject areas

Surgery

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10.1016/j.cps.2020.06.004

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title = "Medial Femoral Trochlea Osteochondral Flap: Applications for Scaphoid and Lunate Reconstruction",

abstract = "Vascularized osteochondral flaps are a new technique described for the reconstruction of challenging articular defects of the carpus. The medial femoral trochlea osteochondral flap is supplied by the descending geniculate artery. This osteochondral flap has shown promise in the treatment of recalcitrant scaphoid proximal pole nonunions and advanced avascular necrosis of the lunate. The anatomy, surgical technique, and results are discussed, with clinical cases provided.",

keywords = "Descending geniculate artery, Kienb{\"o}ck disease, Medial femoral condyle, Medial femoral trochlea, Osteochondral flap, Scaphoid nonunion, Vascularized bone",

author = "Higgins, {James P.} and B{\"u}rger, {Heinz K.}",

year = "2020",

month = oct,

doi = "10.1016/j.cps.2020.06.004",

language = "English (US)",

volume = "47",

pages = "491--499",

journal = "Clinics in Plastic Surgery",

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T1 - Medial Femoral Trochlea Osteochondral Flap

T2 - Applications for Scaphoid and Lunate Reconstruction

AU - Higgins, James P.

AU - Bürger, Heinz K.

PY - 2020/10

Y1 - 2020/10

N2 - Vascularized osteochondral flaps are a new technique described for the reconstruction of challenging articular defects of the carpus. The medial femoral trochlea osteochondral flap is supplied by the descending geniculate artery. This osteochondral flap has shown promise in the treatment of recalcitrant scaphoid proximal pole nonunions and advanced avascular necrosis of the lunate. The anatomy, surgical technique, and results are discussed, with clinical cases provided.

AB - Vascularized osteochondral flaps are a new technique described for the reconstruction of challenging articular defects of the carpus. The medial femoral trochlea osteochondral flap is supplied by the descending geniculate artery. This osteochondral flap has shown promise in the treatment of recalcitrant scaphoid proximal pole nonunions and advanced avascular necrosis of the lunate. The anatomy, surgical technique, and results are discussed, with clinical cases provided.

KW - Descending geniculate artery

KW - Kienböck disease

KW - Medial femoral condyle

KW - Medial femoral trochlea

KW - Osteochondral flap

KW - Scaphoid nonunion

KW - Vascularized bone

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DO - 10.1016/j.cps.2020.06.004

M3 - Review article

C2 - 32892796

AN - SCOPUS:85090376080

SN - 0094-1298

VL - 47

SP - 491

EP - 499

JO - Clinics in Plastic Surgery

JF - Clinics in Plastic Surgery

IS - 4

ER -

Medial Femoral Trochlea Osteochondral Flap: Applications for Scaphoid and Lunate Reconstruction

Abstract

Keywords

ASJC Scopus subject areas

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