Vascularized periosteal transfer from the medial femoral condyle

Vegas, Manuel R.; Delgado, Pedro J.; Roger, Ignacio; Carosini, Ramon

doi:10.1097/ta.0b013e31823dc230

Cited by 19 publications

(15 citation statements)

References 14 publications

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“…The comparative series by Hamada et al () observed a 100% union rate at a mean of 1.9 months with MFC treatment, opposed to 75% union at 5.5 months following NVBG. Vegas et al () concluded that time to union was similar between the three periosteal‐only flaps and five corticoperiosteal flaps.…”

Section: Resultsmentioning

confidence: 99%

Upper and lower extremity reconstructive applications utilizing free flaps from the medial genicular arterial system: A systematic review

et al. 2016

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Section: Resultsmentioning

confidence: 99%

Upper and lower extremity reconstructive applications utilizing free flaps from the medial genicular arterial system: A systematic review

et al. 2016

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“…Therefore, flaps of periosteal autografts have been frequently used for the repair of articular cartilage [16]. In the management of recalcitrant nonunions with small gaps, both periosteal and corticoperiosteal flaps play a central role [17]. To bridge segmental bone defects Li et al implanted Cbfa-1 gene-modified tissue-engineered bone and vascularized periosteum.…”

Section: Discussionmentioning

confidence: 99%

Immunohistochemical and Molecular Characterization of the Human Periosteum

Frey

Jansen

Hoelscher-Doht

et al. 2013

The Scientific World Journal

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Purpose. The aim of the present study was to characterize the cell of the human periosteum using immunohistological and molecular methods. Methods. Phenotypic properties and the distribution of the cells within the different layers were investigated with immunohistochemical staining techniques and RT-PCR, focussing on markers for stromal stem cells, osteoblasts, osteoclasts and immune cells. Results. Immunohistochemical results revealed that all stained cells were located in the cambium layer and that most cells were positive for vimentin. The majority of cells consisted of stromal stem cells and osteoblastic precursor cells. The density increased towards the deeper layers of the cambium. In addition, cells positive for markers of the osteoblast, chondrocyte, and osteoclast lineages were found. Interestingly, there were MHC class II-expressing immune cells suggesting the presence of dendritic cells. Using lineage-specific primer pairs RT-PCR confirmed the immunofluorescence microscopy results, supporting that human periosteum serves as a reservoir of stromal stem cells, as well as cells of the osteoblastic, and the chondroblastic lineage, osteoclasts, and dendritic cells. Conclusion. Our work elucidates the role of periosteum as a source of cells with a high regenerative capacity. Undifferentiated stromal stem cells as well as osteoblastic precursor cells are dominating in the cambium layer. A new outlook is given towards an immune response coming from the periosteum as MHC II positive immune cells were detected.

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“…In a clinical prospective study, Vegas et al showed that periosteum only and corticoperiosteal microvascular transfers from the medial femoral condyle were both effective on the acceleration of bone healing [17]. Periosteal cells are reported to be a major source of soft callus in bone fractures [6].…”

Section: Discussionmentioning

confidence: 99%

Effect of Preservation of Corticoperiosteal Attachment on Bone Healing at Osteotomy Sites after Ulna-shortening Osteotomy

Hamada

Sairyo

Hibino

et al. 2014

Hand (New York, N,Y.)

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Background Although precise ulna-shortening osteotomy is popular, the procedure sometimes results in delayed union or nonunion. The periosteum including the inner cambium layer plays an important role in fracture healing. We tested the hypothesis that preservation of the corticoperiosteal attachment may accelerate healing at osteotomy sites after ulnashortening osteotomy. Methods We performed a chart review of 32 patients who underwent ulna-shortening osteotomy for ulnar impaction syndrome or triangular fibrocartilage complex tears in a retrospective single-surgeon series. Of the 32 cases, the periosteum was preserved in 21 osteotomies performed from April 2009 onwards (periosteum-preserved group) and not preserved in 11 osteotomies performed before April 2009 (control group). Following sugar tong immobilization, patients in both groups used a short wrist supporter during the first two postoperative weeks (POW) and up to at least four POW. Union of the osteotomy site was assessed at 2-week intervals using radiographs taken at three different projections until 12 POW and at 4-week intervals thereafter until 24 POW. Ulna shortening was performed using a transverse osteotomy cut with the aid of a commercially available compression device. Results All osteotomies achieved complete union except in one case in the control group. The mean interval to complete cortical union was 7.7 weeks in the periosteum-preserved group and 9.5 weeks in the control group. The corresponding mean times for endosteal union were 15.6 and 21.8 weeks. The periosteum-preserved group had reduced times for both types of union but only the endosteal union time was significantly different from the control group. Conclusions Preservation of the corticoperiosteal attachment significantly shortened the endosteal union time. Our results indicate that preservation of the periosteum may accelerate bone healing after ulna-shortening osteotomy.

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Vascularized periosteal transfer from the medial femoral condyle

Cited by 19 publications

References 14 publications

Upper and lower extremity reconstructive applications utilizing free flaps from the medial genicular arterial system: A systematic review

Upper and lower extremity reconstructive applications utilizing free flaps from the medial genicular arterial system: A systematic review

Immunohistochemical and Molecular Characterization of the Human Periosteum

Effect of Preservation of Corticoperiosteal Attachment on Bone Healing at Osteotomy Sites after Ulna-shortening Osteotomy

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