Medial Femoral Condyle Vascularized Bone Graft for Treatment of Midshaft Clavicle Recalcitrant Nonunion With Use of the Transverse Cervical Artery as an Anastomosis.

Publication Title

J Am Acad Orthop Surg Glob Res Rev

Authors

Christopher M Belyea
Jefferson L Lansford
Joseph B Golden, Department of Head and Neck Surgery, Swedish Cancer Institute, Seattle, WAFollow
Emily H Shin
Rey D L Gumboc

Document Type

Article

Publication Date

6-1-2020

Abstract

Vascularized medial femoral condyle bone grafts have been reported to be a reliable treatment for recalcitrant bony nonunions of the extremities. Although clavicle fracture nonunions are rare after treatment with open reduction internal fixation, symptomatic nonunions can be a challenge. The medial femoral condyle vascularized bone graft has been described as a treatment option for clavicle nonunions with the thoracoacromial trunk as the recipient anastomosis site. This case illustrates how the transverse cervical artery and accompanying veins can be used as an anastomosis when the thoracoacromial trunk is inaccessible because of previous surgical- and infection-related scaring. At the final follow-up, the patient had returned to full duty and resumed competitive triathlons. Radiographs demonstrated complete healing of clavicle fracture.

Area of Special Interest

Orthopedics & Sports Medicine

Area of Special Interest

Cancer

Specialty/Research Institute

Orthopedics

Specialty/Research Institute

Surgery