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Total Knee Autologous Reconstruction With Ipsilateral Vascularized Talocrural Joint Transfer: A Report of 2 Cases
Pedro Carlos Cavadas1,2, Tina Munn Yi Lee1,3, Ana Ruo Lan Cavadas1
1Clinica Cavadas, Reconstructive Surgery, Valencia, Spain.
Cases:
Two cases of massive knee defects in patients with contraindication to total knee arthroplasty are reported. The ipsilateral talocrural joint (TCj), along with a segment of the distal tibia, was transferred to reconstruct the knee and proximal tibia bone defect. The donor defect was reconstructed with a contralateral free fibula flap. Range of motion of the reconstructed knee was good. Both patients could walk painlessly without aid. No degenerative changes were seen at the last follow-up.
Conclusion:
Autologous vascularized reconstruction of the knee joint using the TCj is achievable with good midterm results.
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