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

doi:10.2106/JBJS.CC.21.00652

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 journal › Article › peer-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 language	English (US)
Article number	e2100652
Journal	JBJS case connector
Volume	12
Issue number	3
DOIs	https://doi.org/10.2106/JBJS.CC.21.00652
State	Published - 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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10.2106/JBJS.CC.21.00652

Cite this

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

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.",

keywords = "GCT, MFC, PAM, bilateral peronea arteria magna, giant cell tumor, medial femoral condyle periosteal flap, wrist arthrodesis",

author = "Abhinav Talwar and Jennifer Bai and Wester, {James R.} and Samer Attar and Peabody, {Terrance D.} and Ko, {Jason H.}",

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doi = "10.2106/JBJS.CC.21.00652",

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T1 - Vascularized Medial Femoral Condyle Periosteal Flaps with Allograft Bone for Distal Radius Giant Cell Tumors

T2 - A Case Report

AU - Talwar, Abhinav

AU - Bai, Jennifer

AU - Wester, James R.

AU - Attar, Samer

AU - Peabody, Terrance D.

AU - Ko, Jason H.

PY - 2022/9/1

Y1 - 2022/9/1

N2 - 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.

AB - 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.

KW - GCT

KW - MFC

KW - PAM

KW - bilateral peronea arteria magna

KW - giant cell tumor

KW - medial femoral condyle periosteal flap

KW - wrist arthrodesis

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

Abstract

Keywords

ASJC Scopus subject areas

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