The medial femoral trochlea flap with a monitor skin island—Report of two cases

In this report, we present two cases of the bony reconstruction with the medial trochlea (MFT) flap including a skin island that was used to monitor the perfusion of flap in the postoperative period. Between March 2013 and April 2015, we performed surgery on two patients who suffered from scaphoid a...

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Veröffentlicht in:Microsurgery 2017-07, Vol.37 (5), p.431-435
Hauptverfasser: Tremp, M., Haumer, A., Wettstein, R., Zhang, Y.X., Honigmann, P., Schaefer, D. J., Kalbermatten, D. F.
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container_end_page 435
container_issue 5
container_start_page 431
container_title Microsurgery
container_volume 37
creator Tremp, M.
Haumer, A.
Wettstein, R.
Zhang, Y.X.
Honigmann, P.
Schaefer, D. J.
Kalbermatten, D. F.
description In this report, we present two cases of the bony reconstruction with the medial trochlea (MFT) flap including a skin island that was used to monitor the perfusion of flap in the postoperative period. Between March 2013 and April 2015, we performed surgery on two patients who suffered from scaphoid and talus non‐union after trauma and initial treatment by osteosynthesis. A skin island (1 cm × 1 cm and 3 cm × 1 cm, respectively) was included with the osseous flap (1.6 cm × 1 cm × 1 cm and 2 cm × 3 cm × 2 cm, respectively) to assess the perfusion of the flap. The design of the skin island was based on either the saphenous artery perforator or a cutaneous perforator of the descending genicular artery. Both flaps remained viable throughout the postoperative period, and there were no donor site complications. After a follow‐up of 36 and 11 months, bony union was observed in both patients with a high degree of satisfaction. Thus, a MFT flap with a skin island could be a tool to assess the perfusion of the flap in the early postoperative period. © 2016 Wiley Periodicals, Inc. Microsurgery 37:431–435, 2017.
doi_str_mv 10.1002/micr.30093
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Microsurgery 37:431–435, 2017.</description><subject>compound flap</subject><subject>Female</subject><subject>Fractures, Ununited - surgery</subject><subject>free flap</subject><subject>Free Tissue Flaps - blood supply</subject><subject>Free Tissue Flaps - transplantation</subject><subject>Humans</subject><subject>Knee</subject><subject>Male</subject><subject>medial knee flap</subject><subject>Middle Aged</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Scaphoid Bone - injuries</subject><subject>Scaphoid Bone - surgery</subject><subject>Talus - injuries</subject><subject>Talus - surgery</subject><subject>Young Adult</subject><issn>0738-1085</issn><issn>1098-2752</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kL1OwzAUhS0EoqGw8ADIM1KK7cR2PKKKn0pFiKrMketcq4akjuygqhsPwRPyJKQEGJnOcD8dnfshdE7JhBLCrhpnwiQjRGUHKKFEFSmTnB2ihMisSCkp-AidxPhCekRJdYxG_V1SnssEPS3XgBuonK6xhcaHPrvgzboGjW2tW7x13Rpr3PiN63zA8dVtsIu13lSf7x8LaH3osLe423psdIR4io6sriOc_eQYPd_eLKf36fzxbja9nqeGKZH1E1lldE4FGEWFrgppBXCoVL7SVFKmbMZFVRihhCygyAnjnBkuwWoAna2yMbocek3wMQawZRtco8OupKTceyn3XspvLz18McDt26r_9g_9FdEDdAC2robdP1Xlw2y6GEq_AN3Bbv4</recordid><startdate>201707</startdate><enddate>201707</enddate><creator>Tremp, M.</creator><creator>Haumer, A.</creator><creator>Wettstein, R.</creator><creator>Zhang, Y.X.</creator><creator>Honigmann, P.</creator><creator>Schaefer, D. 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subjects compound flap
Female
Fractures, Ununited - surgery
free flap
Free Tissue Flaps - blood supply
Free Tissue Flaps - transplantation
Humans
Knee
Male
medial knee flap
Middle Aged
Reconstructive Surgical Procedures - methods
Scaphoid Bone - injuries
Scaphoid Bone - surgery
Talus - injuries
Talus - surgery
Young Adult
title The medial femoral trochlea flap with a monitor skin island—Report of two cases
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