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The adductor magnus tendon and its insertion (cortical and cancellous bone) are vascularized by the articular branch of the descending genicular artery of the knee. Anatomic findings support a reliable transfer of vascularized bone or tendon. Some applications are restoration of the cruciate ligament of the knee, free vascularized bone transfer for treatment of avascular bone necrosis or post-traumatic pseudoarthrosis, and pedicled tendon transfer to reinforce repairs of the medial ligament of the knee.

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