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Medial Femoral Condyle Vascularized Graft for First Ray Arthrodesis and Reconstruction: A Case Report
Mark H X Yeo1, Shawn J S Seah1, Marcus Wei Ping Tan1
1Department of Orthopedic Surgery, Singapore General Hospital, Singapore.
Case:
A 78-year-old Chinese man presented to our unit with chronic tophaceous gout complicated by osteomyelitis of the left first metatarsophalangeal joint (1MTPJ). The patient underwent multiple debridements, resulting in a critical bone defect. Reconstruction of the first ray with 1MTPJ arthrodesis was performed using a vascularized medial femoral condyle free flap (MFC-FF). At the 1-year follow-up, plain radiographs demonstrated satisfactory bony union and patient-reported outcome measures were optimal.
Conclusion:
The MFC-FF can be an effective option for reconstruction of small bone defects in the foot due to osteomyelitis.
