Reconstruction of extended bone defects using massive allografts combined with surgical angiogenesis

• Verfasst von: Struckmann, Victoria [VerfasserIn]
• Verfasst von: Schmidmaier, Gerhard [VerfasserIn]
• Verfasst von: Ferbert, Thomas [VerfasserIn]
• Verfasst von: Kneser, Ulrich [VerfasserIn]
• Verfasst von: Kremer, Thomas [VerfasserIn]
• Titel: Reconstruction of extended bone defects using massive allografts combined with surgical angiogenesis
• Titelzusatz: a case report
• Verf.angabe: Victoria Struckmann, MD, Gerhard Schmidmaier, MD, Thomas Ferbert, MD, Ulrich Kneser, MD, and Thomas Kremer, MD
• E-Jahr: 2017
• Jahr: February 8, 2017
• Umfang: 8 S.
• Fussnoten: Gesehen am 20.08.2020
• Titel Quelle: Enthalten in: Journal of bone and joint surgery / Case Connector
• Ort Quelle: Needham, Mass., 2011
• Jahr Quelle: 2017
• Band/Heft Quelle: 7(2017,1) Artikel-Nummer e10, 8 Seiten
• ISSN Quelle: 2160-3251
• DOI: doi:10.2106/JBJS.CC.16.00098
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1576202526

Abstract

Case: A 20-year-old patient presented with an extended composite knee defect with destruction of the medial femoral condyle, including the medial collateral ligament. Treatment included using an anterolateral thigh flap for soft-tissue reconstruction, tensor fasciae latae muscle for ligament repair, and a massive allogenic bone graft of the medial femoral condyle that was revascularized with an osteocutaneous composite free flap from the contralateral femur. At 17 months postoperatively, the outcome was evaluated with scores on several established scales and radiographic assessment. Conclusion: The combination of vascularized soft-tissue reconstruction and osseous reconstruction using allogenic bone along with surgical angiogenesis proved to be effective. Complex extremity reconstruction should be discussed with interdisciplinary specialists.