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- W2945143277 abstract "The medial femoral trochlea flap is a chondrocorticoperiosteal flap. It has recently been described in the context of cartilage lesions. It is mainly used for reconstruction in non-union of the scaphoid's proximal pole and Kienböck disease. The medial femoral trochlea flap may be harvested with a skin island flap to monitor its vascularization. The surgical technique has been extensively described for its primary osteochondral form. However, the corticoperiosteal form has not been thoroughly studied and described. Here, we describe and report the early results of three cases of the composite medial femoral trochlea flap, with a skin paddle for postoperative monitoring, being used to reconstruct the injured proximal scaphoid and lunate. Le lambeau du versant médial de la trochlée fémorale est un lambeau chondro-cortico-périosté. Il s’agit d’une nouvelle technique décrite pour la reconstruction des lésions cartilagineuses au poignet. Il est principalement utilisé pour la reconstruction des pseudarthroses du pôle proximal du scaphoïde et dans la maladie de Kienböck. Ce lambeau chondro-cortico-périosté peut être prélevé avec une palette cutanée permettant sa surveillance vasculaire. La technique chirurgicale de ce lambeau dans sa forme initiale, ostéochondrale, a été étudiée et décrite de manière approfondie. En revanche, il existe très peu de description de la technique chirurgicale de prélèvement de ce lambeau dans sa forme chondro-cortico-cutanée. Nous décrivons et rapportons les résultats préliminaires de trois cas de lambeau composite cartilagineux du versant médial de la trochlée fémorale, avec une palette cutanée pour la surveillance postopératoire, afin de reconstruire le pôle proximal du scaphoïde et la partie proximale du lunatum." @default.
- W2945143277 created "2019-05-29" @default.
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- W2945143277 date "2019-09-01" @default.
- W2945143277 modified "2023-10-01" @default.
- W2945143277 title "Free composite medial femoral trochlea osteochondral cutaneous flap for wrist scaphoid and lunate cartilage lesions: Advantages of a skin paddle" @default.
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- W2945143277 doi "https://doi.org/10.1016/j.hansur.2019.05.002" @default.
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