Management of capitate avascular necrosis in an adult with a free medial femoral condyle flap.
Avascular necrosis
Cannulated screw
Capitate
Free flap
Hand surgery
Medial femoral condyle
Journal
Hand surgery & rehabilitation
ISSN: 2468-1210
Titre abrégé: Hand Surg Rehabil
Pays: France
ID NLM: 101681801
Informations de publication
Date de publication:
10 2023
10 2023
Historique:
received:
11
07
2023
revised:
17
07
2023
accepted:
18
07
2023
medline:
2
10
2023
pubmed:
24
7
2023
entrez:
23
7
2023
Statut:
ppublish
Résumé
The treatment of the extremely uncommon avascular necrosis of the capitate with a medial femoral condyle corticocancellous free flap has been described previously by one group reporting on outcomes in a paediatric patient. However, no literature to-date has detailed results of this procedure in an adult. We illustrate the case of a 53-year-old man who sustained capitate avascular necrosis and tendon rupture of traumatic aetiology. He was managed by resection of the necrotic segment, followed by inset of the medial femoral condyle free flap with the novel applications of indocyanine green to ensure adequate perfusion and intramedullary cannulated screw fixation of the capitate. Tendon transfer was also performed in the same operative sitting. At 9 months postoperatively, the patient displayed full range of motion of the wrist without any pain, and the imaging demonstrated union. This microsurgical approach may be performed in adult patients with favourable postoperative outcomes.
Identifiants
pubmed: 37482273
pii: S2468-1229(23)00123-8
doi: 10.1016/j.hansur.2023.07.007
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
455-458Informations de copyright
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