The medial femoral condyle vascularized graft has become a useful resource in reconstructive microsurgery due to the rate of bony union, and the low rate of complication. We report osteonecrosis of the medial femoral condyle in a 65-year-old woman after harvesting a corticocancellous medial femoral condyle graft to treat a tarsometatarsal nonunion. We were not able to define whether a vascular or mechanical disorder could be the ultimate cause. However, because of the severity of the complication, we suggest informing patients who will undergo a medial femoral condyle flap about this infrequent complication.
From the *Hand and Upper Extremity Surgery Department, “Dr Carlos E. Ottolenghi” Orthopaedic Institute, Hospital Italiano de Buenos Aires, Argentina, Ciudad de Buenos Aires, Argentina
†Knee Surgery Department, “Dr Carlos E. Ottolenghi” Orthopaedic Institute, Hospital Italiano de Buenos Aires, Argentina, Ciudad de Buenos Aires, Argentina.
Published online 19 June 2018.
Received for publication February 26, 2018; accepted April 3, 2018.
Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.
Jorge G. Boretto, MD, Tte. Gral. Juan D. Perón 4190, C1199ABB, Ciudad Autónoma de Buenos Aires, Argentina, E-mail: firstname.lastname@example.org
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