Use of a Free Vascularized Medial Femoral Condyle Flap for Revision Surgery in a Pediatric Patient with Congenital Pseudarthrosis of the Clavicle
The most common surgical treatment for congenital pseudarthrosis of the clavicle (CPC) is resection of the pseudarthrosis, placement of an autologous bone graft, and Kirschner wire or plate fixation. However, in some cases, bone fusion cannot be achieved at the first surgery, and an additional surge...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/8872934 |
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| author | Atsuro Murai Kaoru Tada Mika Nakada Masashi Matsuta Katsuhiro Hayashi Hiroyuki Tsuchiya |
| author_facet | Atsuro Murai Kaoru Tada Mika Nakada Masashi Matsuta Katsuhiro Hayashi Hiroyuki Tsuchiya |
| author_sort | Atsuro Murai |
| collection | DOAJ |
| description | The most common surgical treatment for congenital pseudarthrosis of the clavicle (CPC) is resection of the pseudarthrosis, placement of an autologous bone graft, and Kirschner wire or plate fixation. However, in some cases, bone fusion cannot be achieved at the first surgery, and an additional surgery is required. We present a case report of a boy with a right CPC who failed radiographic bone union after the first surgery. He subsequently underwent revision surgery with resection of the pseudarthrosis, plate fixation, and establishment of a vascularized medial femoral condyle (MFC) flap to ensure bone union. Three months after the revision surgery, a radiographic bone union was achieved, and no symptoms were observed for one year after the operation. There have been no previous reports of the use of a vascularized MFC flap as a treatment for CPC. We believe that this technique effectively ensures bone union during revision surgery for CPC. |
| format | Article |
| id | doaj-art-0eecded4ce7e4ca4a66ce380c29892ab |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-0eecded4ce7e4ca4a66ce380c29892ab2025-02-03T01:04:48ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/88729348872934Use of a Free Vascularized Medial Femoral Condyle Flap for Revision Surgery in a Pediatric Patient with Congenital Pseudarthrosis of the ClavicleAtsuro Murai0Kaoru Tada1Mika Nakada2Masashi Matsuta3Katsuhiro Hayashi4Hiroyuki Tsuchiya5Department of Orthopaedic Surgery, Graduate School of Medical Science Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa 920-1302, JapanDepartment of Orthopaedic Surgery, Graduate School of Medical Science Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa 920-1302, JapanDepartment of Orthopaedic Surgery, Graduate School of Medical Science Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa 920-1302, JapanDepartment of Orthopaedic Surgery, Graduate School of Medical Science Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa 920-1302, JapanDepartment of Orthopaedic Surgery, Graduate School of Medical Science Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa 920-1302, JapanDepartment of Orthopaedic Surgery, Graduate School of Medical Science Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa 920-1302, JapanThe most common surgical treatment for congenital pseudarthrosis of the clavicle (CPC) is resection of the pseudarthrosis, placement of an autologous bone graft, and Kirschner wire or plate fixation. However, in some cases, bone fusion cannot be achieved at the first surgery, and an additional surgery is required. We present a case report of a boy with a right CPC who failed radiographic bone union after the first surgery. He subsequently underwent revision surgery with resection of the pseudarthrosis, plate fixation, and establishment of a vascularized medial femoral condyle (MFC) flap to ensure bone union. Three months after the revision surgery, a radiographic bone union was achieved, and no symptoms were observed for one year after the operation. There have been no previous reports of the use of a vascularized MFC flap as a treatment for CPC. We believe that this technique effectively ensures bone union during revision surgery for CPC.http://dx.doi.org/10.1155/2020/8872934 |
| spellingShingle | Atsuro Murai Kaoru Tada Mika Nakada Masashi Matsuta Katsuhiro Hayashi Hiroyuki Tsuchiya Use of a Free Vascularized Medial Femoral Condyle Flap for Revision Surgery in a Pediatric Patient with Congenital Pseudarthrosis of the Clavicle Case Reports in Orthopedics |
| title | Use of a Free Vascularized Medial Femoral Condyle Flap for Revision Surgery in a Pediatric Patient with Congenital Pseudarthrosis of the Clavicle |
| title_full | Use of a Free Vascularized Medial Femoral Condyle Flap for Revision Surgery in a Pediatric Patient with Congenital Pseudarthrosis of the Clavicle |
| title_fullStr | Use of a Free Vascularized Medial Femoral Condyle Flap for Revision Surgery in a Pediatric Patient with Congenital Pseudarthrosis of the Clavicle |
| title_full_unstemmed | Use of a Free Vascularized Medial Femoral Condyle Flap for Revision Surgery in a Pediatric Patient with Congenital Pseudarthrosis of the Clavicle |
| title_short | Use of a Free Vascularized Medial Femoral Condyle Flap for Revision Surgery in a Pediatric Patient with Congenital Pseudarthrosis of the Clavicle |
| title_sort | use of a free vascularized medial femoral condyle flap for revision surgery in a pediatric patient with congenital pseudarthrosis of the clavicle |
| url | http://dx.doi.org/10.1155/2020/8872934 |
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