Vascularized Genicular Osseous-Periosteal Flap for Pseudarthrosis of the Proximal Phalanx of the Little Finger: A Case Report

Abstract

This study describes pseudoarthrosis of the proximal phalanx of the little finger and its successful treatment using a free vascularized genicular osseous-periosteal flap. Since this thin and pliable flap can be harvested as a small vascularized unit, it is ideal for the treatment of phalangeal pseudoarthrosis.

Keywords

Genicular osseous-periosteal flap Vascularized periosteum graft Pseudarthrosis Nonunion Bone graft

Get full access to this article

View all access options for this article.

References

del Piñal

Innocenti

. Evolving concepts in the management of the bone gap in the upper limb. Long and small defects. J Plast Reconstr Aesthet Surg. 2007;60:776–92.

Doi

Sakai

. Vascularized periosteal bone graft from the supracondylar region of the femur. Microsurgery. 1994;15:305–15.

Doi

Oda

Soo-Heong

. Free vascularized bone graft for nonunion of the scaphoid. J Hand Surg Am. 2000;25:507–19.

Grant

Berger

Ireland

. A vascularized bone graft from the medial femoral condyle for recurrent failed arthrodesis of the distal interphalangeal joint. Br J Plast Surg. 2005;58:1011–3.

Jupiter

Koniuch

Smith

. The management of delayed union and nonunion of the metacarpals and phalanges. J Hand Surg Am. 1985;10:457–66.

Kakinoki

Ikeguti

Matsumoto

. Reconstruction of a phalangeal bone using a vascularized metacarpal bone graft nourished by a dorsal metacarpal artery. Injury. 2008;39:25–8.

Nissenbaum

. Avascular necrosis of the distal phalangeal epiphysis following physeal fracture: a case report. J Hand Surg Am. 1999;24:633–7.

Sakai

Doi

Tamaru

. Free vascularized bone and periosteal graft for pseudarthrosis in the upper limb. J Jpn Soc Surg Hand. 1988;5:698–704. In Japanese with English abstract.

Sakai

Doi

Kawai

. Free vascularized thin corticoperiosteal graft. Plast Reconstr Surg. 1991;87:290–8.

10.

Sammer

Bishop

Shin

. Vascularized medial femoral condyle graft for thumb metacarpal reconstruction: case report. J Hand Surg Am. 2009;34:715–8.

11.

Serafin

. The genicular osseous-periosteal flap. Atlas of microsurgical composite tissue transplantation. Philadelphia: W. B. Saunders; 1996. p. 679–91.

12.

Snelling

Hendel

. Avascular necrosis of bone following revascularization of the thumb. Ann Plast Surg. 1979;3:77–87.

13.

Yajima

Tamai

Ono

. Vascularized bone graft to the upper extremities. Plast Reconstr Surg. 1998;101:727–35.