Monitor selection according to the defect location in the medial femoral condyle flap,

Medial Femoral Condyle Free Flap: A Systematic Review and Proportional Meta-analysis of Applications and Surgical Outcomes

“…Donor site morbidity was reported in 36 studies. 2,4,5,7–11,13–15,17–26,28–42 The most reported postoperative symptoms were transient paresthesia, knee pain, and/or decreased knee mobility. Major complications were rare, with only three cases of femoral fractures, one case of superficial femoral artery injury, one case of medial collateral ligament of the knee injury, and one septic shock due to postoperative pacemaker colonization reported.…”

“…2,7,10,[20][21][22]36 Flap size was described in square centimeters (cm 2 ) and cubic centimeters (cm 3 ), limiting comparability but the mean flap surface ranged from 4.9 to 25.5 cm 2 , and the mean flap volume ranged from 3.6 to 36.1 cm 3 . 2,4,5,10,14,16,18,[20][21][22]28,29,33,36,38,41,42 The mean procedure time ranged from 243 to 540 minutes. 7,8,23,24,29,30,36,37 The overall flap failure rate was 2% (95% CI, 0%-4%; Fig.…”

“…In the upper limb, the main indications were bony nonunion, avascular necrosis (AVN) of carpal bones and traumatic bone loss. 4,11,[13][14][15][16][17][18][19]24,25,28,[30][31][32]34,35 The treated bones included the clavicle, humerus, radius, ulna, carpal bones, metacarpal bones, and phalanx. Henry et al described the use of MFC-FF for replacing bone loss due to osteomyelitis in the distal fingers.…”

“…Ercin et al present alternative techniques with adipofascial and periosteal monitors. 18 In the current practice, fibula bone free flap, deep circumflex iliac artery bone flap, and scapula bone flap are commonly used bone flaps. Although the fibula bone free flap remains the workhorse flap for large bone defects such as mandibular reconstruction, it is associated with notable donor site morbidity and involves losing one of the three main vascular axis of the leg.…”