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

James P. Higgins, Heinz K. Bürger

Research output: Contribution to journalReview articlepeer-review

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 languageEnglish (US)
Pages (from-to)491-499
Number of pages9
JournalClinics in Plastic Surgery
Volume47
Issue number4
DOIs
StatePublished - Oct 2020
Externally publishedYes

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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