Evidence map›Paper›PMID 40947999›Full record

ArticleZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery2025

[Functional chimeric perforator flap of medial femoral condyle for osteochondral and soft tissue reconstruction in hand and foot joints].

Mingwu Zhou, Yanfeng Li, Yang Gao, Kai Zhang, Zhiwei Zhao, Kuo Wei, Jia Chen

Abstract readEnglish Abstract
In one paragraph

Article in Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Mingwu ZhouDepartment of Hand and Microsurgery Orthopedics Center, Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), Zhengzhou Henan, 450047, P. R. China.
Yanfeng LiDepartment of Hand and Microsurgery Orthopedics Center, Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), Zhengzhou Henan, 450047, P. R. China.
Yang GaoDepartment of Orthopedics, Zhengzhou 460 Hospital, Zhengzhou Henan, 450042, P. R. China.
Kai ZhangDepartment of Orthopedics, Zhengzhou 460 Hospital, Zhengzhou Henan, 450042, P. R. China.
Zhiwei ZhaoDepartment of Hand and Microsurgery Orthopedics Center, Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), Zhengzhou Henan, 450047, P. R. China.
Kuo WeiDepartment of Orthopedics, No.988 Hospital of Joint Logistics Support Force of Chinese PLA, Zhengzhou Henan, 450007, P. R. China.
Jia ChenDepartment of Orthopedics, No.988 Hospital of Joint Logistics Support Force of Chinese PLA, Zhengzhou Henan, 450007, P. R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the effectiveness of free medial femoral condyle (MFC) functional chimeric perforator flap (FCPF) transplantation in reconstructing joint function by repairing concomitant osteochondral defects and soft tissue defect in hand and foot joints. Methods: A retrospective analysis was performed on 6 patients (5 males, 1 female; mean age of 33.4 years, range 21-56 years) with traumatic osteochondral joint defects and associated tendon, nerve, and soft tissue defects treated between January 2019 and November 2024. Defect locations included metacarpal heads ( Results: All 6 MFC-FCPF survived completely, with primary healing of wounds and donor sites. All patients were followed up 6-44 months (mean, 23.5 months). The flaps at metacarpophalangeal joint in 1 case and at ankle joint in 1 case were treated with degreasing repair because of their bulky appearance, while the other flaps had good appearance and texture. At 3 months after operation, the visual analogue scale (VAS) score for pain during joint movement of recipient site was 0-2, with an average of 0.7; at last follow-up, the VAS score of the donor site was 0-1, with an average of 0.3. According to the Paley fracture healing scoring system, the osteochondral healing of all the 6 patients was excellent. The range of motion of the metacarpophalangeal joint in 3 cases was 75%, 90%, and 100% of contralateral side respectively, the range of motion of the metatarsophalangeal joint in 2 cases was 65% and 95% of contralateral side respectively, and the range of motion of the ankle joint in 1 case was 90% of contralateral side. The hand function was evaluated as excellent in 2 cases and good in 1 case according to the upper limb function evaluation standard of the Chinese Medical Association Hand Surgery Society, and the foot function was evaluated as excellent in 2 cases and fair in 1 case according to the Maryland foot function score of 93, 91, and 69, respectively. The International Knee Documentation Committee (IKDC) score of 6 knees was 91-99, with an average of 95.2. Conclusion: The free MFC-FCPF enables precise anatomical joint reconstruction with three-dimensional restoration of tendon, nerve, capsule, and soft tissue defects, effectively restoring joint function and improving quality of life.

Indexed as

FemurFoot JointsPerforator FlapPlastic Surgery ProceduresSoft Tissue InjuriesAdultFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultFunctional chimeric perforator flapmedial femoral condyleosteochondral defectrepair and reconstruction

Identifiers

PMID40947999
PMCPMC12440683

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