Vascularized Medial Femoral Condyle Periosteal Flaps with Allograft Bone for Distal Radius Giant Cell Tumors: A Case Report

Abhinav Talwar, Jennifer Bai, James R. Wester, Samer Attar, Terrance D. Peabody, Jason H. Ko*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Case:Distal radius reconstruction after giant cell tumor (GCT) resection is typically performed with free fibular flaps when a vascularized bone is needed. However, vascularized fibular flaps are contraindicated in patients with peroneal artery variants. We present 2 patients with GCTs of the radius and bilateral peronea arteria magna who underwent resection with wrist fusion using an allograft bone and vascularized free medial femoral condyle periosteal flaps. Both patients had excellent outcomes with minimal postoperative morbidity.Conclusion:Allograft bone with vascularized medial femoral condyle periosteal flaps is an effective option for reconstructing distal radius defects after GCT resection when conventional methods fail.

Original languageEnglish (US)
Article numbere2100652
JournalJBJS case connector
Volume12
Issue number3
DOIs
StatePublished - Sep 1 2022

Keywords

  • GCT
  • MFC
  • PAM
  • bilateral peronea arteria magna
  • giant cell tumor
  • medial femoral condyle periosteal flap
  • wrist arthrodesis

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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