Medial femoral condyle flap donor-site morbidity: A radiographic assessment

Samir S. Rao, Carlton C. Sexton, James Patrick Higgins

Research output: Contribution to journalArticle

Abstract

BACKGROUND:: The medial femoral condyle has become a reliable source of vascularized bone with many advantages to the reconstructive microsurgeon. The authors examined the donor-site morbidity of medial femoral condyle flap harvest. METHODS:: A retrospective review of all patients who underwent medial femoral condyle free flap procedures between April of 2009 and December of 2010 was conducted. Study participants underwent computed tomographic scans of their bilateral distal femurs and knee joints to evaluate the donor site and examine differences between the operated and nonoperated sides. RESULTS:: Fifteen patients underwent medial femoral condyle free flap procedures. Ten of them agreed to participate in the study. The average time between surgery and computed tomographic scans was 18.0 months (range, 12.2 to 30.4 months). Average bone harvested per procedure was 16.1 cm (range, 2 to 34 cm), representing an average condylar volume of 9 percent (range, 1 to 18 percent). Reparative bone formation was minimal, with an average thickness of 4.5 mm (range, 4 to 6 mm). There were no findings of new degenerative joint disease on computed tomographic scans resulting from medial femoral condyle harvest. The flap success rate was 100 percent (10 of 10) for patency and achieving osseous union. There were no major or flap-related complications. Two patients reported numbness of the donor site at long-term follow-up (average, 17.5 months; range, 12.2 to 30.4 months). CONCLUSIONS:: Medial femoral condyle harvest creates minimal donor-site morbidity according to radiographic measures at more than 1-year follow-up. Surgeons can anticipate minimal unassisted bone regeneration at the donor site at this time interval. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Therapeutic, V.

Original languageEnglish (US)
JournalPlastic and Reconstructive Surgery
Volume131
Issue number3
DOIs
StatePublished - Mar 2013

Fingerprint

Thigh
Tissue Donors
Morbidity
Bone and Bones
Free Tissue Flaps
Bone Regeneration
Hypesthesia
Knee Joint
Osteogenesis
Osteoarthritis
Femur

ASJC Scopus subject areas

  • Surgery

Cite this

Medial femoral condyle flap donor-site morbidity : A radiographic assessment. / Rao, Samir S.; Sexton, Carlton C.; Higgins, James Patrick.

In: Plastic and Reconstructive Surgery, Vol. 131, No. 3, 03.2013.

Research output: Contribution to journalArticle

@article{99eeaa6e36e04b54bf1ad3c0c1ddd393,
title = "Medial femoral condyle flap donor-site morbidity: A radiographic assessment",
abstract = "BACKGROUND:: The medial femoral condyle has become a reliable source of vascularized bone with many advantages to the reconstructive microsurgeon. The authors examined the donor-site morbidity of medial femoral condyle flap harvest. METHODS:: A retrospective review of all patients who underwent medial femoral condyle free flap procedures between April of 2009 and December of 2010 was conducted. Study participants underwent computed tomographic scans of their bilateral distal femurs and knee joints to evaluate the donor site and examine differences between the operated and nonoperated sides. RESULTS:: Fifteen patients underwent medial femoral condyle free flap procedures. Ten of them agreed to participate in the study. The average time between surgery and computed tomographic scans was 18.0 months (range, 12.2 to 30.4 months). Average bone harvested per procedure was 16.1 cm (range, 2 to 34 cm), representing an average condylar volume of 9 percent (range, 1 to 18 percent). Reparative bone formation was minimal, with an average thickness of 4.5 mm (range, 4 to 6 mm). There were no findings of new degenerative joint disease on computed tomographic scans resulting from medial femoral condyle harvest. The flap success rate was 100 percent (10 of 10) for patency and achieving osseous union. There were no major or flap-related complications. Two patients reported numbness of the donor site at long-term follow-up (average, 17.5 months; range, 12.2 to 30.4 months). CONCLUSIONS:: Medial femoral condyle harvest creates minimal donor-site morbidity according to radiographic measures at more than 1-year follow-up. Surgeons can anticipate minimal unassisted bone regeneration at the donor site at this time interval. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Therapeutic, V.",
author = "Rao, {Samir S.} and Sexton, {Carlton C.} and Higgins, {James Patrick}",
year = "2013",
month = "3",
doi = "10.1097/PRS.0b013e31827c6f38",
language = "English (US)",
volume = "131",
journal = "Plastic and Reconstructive Surgery",
issn = "0032-1052",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Medial femoral condyle flap donor-site morbidity

T2 - A radiographic assessment

AU - Rao, Samir S.

AU - Sexton, Carlton C.

AU - Higgins, James Patrick

PY - 2013/3

Y1 - 2013/3

N2 - BACKGROUND:: The medial femoral condyle has become a reliable source of vascularized bone with many advantages to the reconstructive microsurgeon. The authors examined the donor-site morbidity of medial femoral condyle flap harvest. METHODS:: A retrospective review of all patients who underwent medial femoral condyle free flap procedures between April of 2009 and December of 2010 was conducted. Study participants underwent computed tomographic scans of their bilateral distal femurs and knee joints to evaluate the donor site and examine differences between the operated and nonoperated sides. RESULTS:: Fifteen patients underwent medial femoral condyle free flap procedures. Ten of them agreed to participate in the study. The average time between surgery and computed tomographic scans was 18.0 months (range, 12.2 to 30.4 months). Average bone harvested per procedure was 16.1 cm (range, 2 to 34 cm), representing an average condylar volume of 9 percent (range, 1 to 18 percent). Reparative bone formation was minimal, with an average thickness of 4.5 mm (range, 4 to 6 mm). There were no findings of new degenerative joint disease on computed tomographic scans resulting from medial femoral condyle harvest. The flap success rate was 100 percent (10 of 10) for patency and achieving osseous union. There were no major or flap-related complications. Two patients reported numbness of the donor site at long-term follow-up (average, 17.5 months; range, 12.2 to 30.4 months). CONCLUSIONS:: Medial femoral condyle harvest creates minimal donor-site morbidity according to radiographic measures at more than 1-year follow-up. Surgeons can anticipate minimal unassisted bone regeneration at the donor site at this time interval. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Therapeutic, V.

AB - BACKGROUND:: The medial femoral condyle has become a reliable source of vascularized bone with many advantages to the reconstructive microsurgeon. The authors examined the donor-site morbidity of medial femoral condyle flap harvest. METHODS:: A retrospective review of all patients who underwent medial femoral condyle free flap procedures between April of 2009 and December of 2010 was conducted. Study participants underwent computed tomographic scans of their bilateral distal femurs and knee joints to evaluate the donor site and examine differences between the operated and nonoperated sides. RESULTS:: Fifteen patients underwent medial femoral condyle free flap procedures. Ten of them agreed to participate in the study. The average time between surgery and computed tomographic scans was 18.0 months (range, 12.2 to 30.4 months). Average bone harvested per procedure was 16.1 cm (range, 2 to 34 cm), representing an average condylar volume of 9 percent (range, 1 to 18 percent). Reparative bone formation was minimal, with an average thickness of 4.5 mm (range, 4 to 6 mm). There were no findings of new degenerative joint disease on computed tomographic scans resulting from medial femoral condyle harvest. The flap success rate was 100 percent (10 of 10) for patency and achieving osseous union. There were no major or flap-related complications. Two patients reported numbness of the donor site at long-term follow-up (average, 17.5 months; range, 12.2 to 30.4 months). CONCLUSIONS:: Medial femoral condyle harvest creates minimal donor-site morbidity according to radiographic measures at more than 1-year follow-up. Surgeons can anticipate minimal unassisted bone regeneration at the donor site at this time interval. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Therapeutic, V.

UR - http://www.scopus.com/inward/record.url?scp=84875034371&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875034371&partnerID=8YFLogxK

U2 - 10.1097/PRS.0b013e31827c6f38

DO - 10.1097/PRS.0b013e31827c6f38

M3 - Article

C2 - 23446585

AN - SCOPUS:84875034371

VL - 131

JO - Plastic and Reconstructive Surgery

JF - Plastic and Reconstructive Surgery

SN - 0032-1052

IS - 3

ER -