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Anatomic variability of the vascularized composite osteomyocutaneous fl ap from the medial femoral condyle: an anatomical study

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Plastic and Aesthetic Research 2014年第1期1卷 85-88页

作者： Trung-Hau LêThua Duc-Phu Bui Dang-Nhat Pham Vu-Bao Lê Albert De Mey Willy Boeckx Department of Plastic Reconstructive and Hand SurgeryHue Central HospitalHue City 47000Thừa Thiên-HuếVietnam Departments of Surgery Hue University of Medicine and PharmacyHue City 47000Thừa Thiên-HuếVietnam Department of Surgery An Sinh HospitalHo Chi Minh City 70000Vietnam Department of Plastic Surgery Brugmann University HospitalFree University of BrusselsBrussels 1020Belgium

Aim:The anatomical study and clinical application for the vascularized corticoperiosteal fl ap from the medial femoral condyle have been performed and described *** prior studies have described the composite osteomyocutaneous fl ap from the medial femoral condyle,a detailed analysis of the vascularity of this region has not yet been fully ***:This anatomical study described the variability of the arteries from the medial femoral condyle in 40 cadaveric ***:The descending genicular artery(DGA)was found in 33 of 40 cases(82.5%).The superomedial genicular artery(SGA)was present in 10 cases(25%).All 33 cases(100%)of the DGA had articular branches to the periosteum of the medial femoral *** branches and saphenous branches of the DGA were present in 25 cases(62.5%)and 26 cases(70.3%),***:The current study demonstrates that the size and length of the vessels to the medial femoral condyle are suffi cient for a vascularized bone fl ap.A careful preoperative vascular assessment is essential prior to use of the vascularized composite osteomyocutaneous fl ap from the medial femoral condyle,because of the considerable anatomical variations in different branches of the DGA.

关键词： Descending genicular artery medial femoral condyle osteomyocutaneousﬂap superomedial genicular artery

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Hoffa's fracture in a five-year-old child diagnosed and treated with the assistance of arthroscopy:A case report

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World Journal of Clinical Cases 2022年第36期10卷 13458-13466页

作者： Zhi-Hao Chen Hai-Fan Wang Hao-Yu Wang Fei Li Xue-Feng Bai Jian-Long Ni Zhi-Bin Shi The First Department of Orthopaedics The Second Affiliated Hospital of Xi’an Jiaotong UniversityXi’an Jiaotong UniversityXi'an 710004Shaanxi ProvinceChina Department of Orthopaedics Xi’an Daxing HospitalXi'an 710016Shaanxi ProvinceChina

BACKGROUND Hoffa’s fracture is a coronal-oriented fracture of the femoral *** is rarely observed in pediatric patients that isolated coronal fracture of the medial femoral condyle accompanies an intact lateral femoral *** a few cases involving Hoffa’s fracture of the medial femoral condyle have been reported in patients with undeveloped *** a fracture cannot be observed by routine imaging examinations,thus resulting in possible misdiagnosis and further treatment *** SUMMARY A 5-year-old boy with Hoffa’s fracture of the medial femoral condyle suffered from right knee pain and severe swelling after being hit by a heavy *** patient was misdiagnosed and initially treated in a local primary healthcare *** improvement in his right knee’s extension was observed following conservative treatment for 2 *** patient was transferred to our hospital,rediagnosed using arthroscopy,and underwent open reduction and internal *** therapeutic outcome was satisfactory with the screws removed 7 mo after *** the final follow-up of 40 mo,the range of motion in the knee had *** was no varus-valgus *** Hoffa’s fracture is rarely seen in children aged 5 years,let alone in the medial condyle,and can easily be misdiagnosed due to limited physical and imaging *** Hoffa’s fracture in preschool children should be confirmed based on arthroscopic *** reduction and internal fixation should be performed to protect the articular surface and prevent long-term complications.

关键词： Hoffa’s fracture Pediatrics medial femoral condyle Missed diagnosis Arthroscopy Open reduction-internal fixation Case report

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