Salvage of a Fractured Proximal Ulnar Osteoarticular Allograft Using a Medial Femoral Condyle Free Flap: A Case Report.

JBJS case connector 2023 Vol.13(3)

Hoftiezer YAJ, Posada Alvarez C, Werenski JO, Schreuder HWB, Eberlin KR, Lee SG, Lozano-Calderón SA

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Abstract

[CASE] We present the case of a 47-year-old paraplegic woman who underwent resection of an intermediate-grade chondrosarcoma in the proximal ulna, which was initially reconstructed with an osteoarticular allograft. However, after more than 25 years without complications, she sustained an intra-articular fracture of the allograft, which was then successfully treated using a vascularized medial femoral condyle (MFC) flap and anterolateral thigh flap. The patient has subsequently recovered her baseline elbow function, has no pain, and can use her wheelchair without restrictions.

[CONCLUSION] Free MFC flaps are viable options to salvage osteoarticular allografts that are affected by intra-articular fractures.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 flap 피판재건술 dict 2
시술 free flap 피판재건술 dict 1
해부 intra-articular scispacy 1
해부 osteoarticular allografts scispacy 1
합병증 ulna scispacy 1
합병증 osteoarticular allograft scispacy 1
합병증 allograft scispacy 1
질환 intermediate-grade chondrosarcoma C3838951
Chondrosarcoma, grade 2
scispacy 1
질환 fracture C0016658
Fracture
scispacy 1
질환 pain C0030193
Pain
scispacy 1
질환 fractures C0016658
Fracture
scispacy 1
질환 MFC → medial femoral condyle scispacy 1
기타 Ulnar Osteoarticular Allograft scispacy 1
기타 Femoral Condyle Free Flap scispacy 1
기타 medial femoral condyle scispacy 1
기타 anterolateral thigh flap scispacy 1
기타 patient scispacy 1
기타 MFC flaps scispacy 1

MeSH Terms

Female; Humans; Middle Aged; Free Tissue Flaps; Femur; Fractures, Bone; Allografts; Ulna

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