LE Recon

Question 1

What are the borders of free fibula flap pedicle, and what artery supplies this?

Answer 1

Pedicle is from the peroneal vessels, and it is found within the deep posterior compartment, with tibialis posterior anteriorly and flexor hallucis longis posteriorly

Question 2

What is capanna technique

Answer 2

Combination of vascularized bone flap (usually fibula) combined with non vascular bone allograft- enhances healing by providing biological support through vascularized flap and mechanical stability through bone grafting

Question 3

What is masquelet technique

Answer 3

Membrane inducing bone graft- spacer placed that forms membrane that can later later be bone grafted; typically for smaller bone defects

Question 4

What is ilizarov bone transport

Answer 4

Distraction osteogenesis using ex fix

Question 5

What is ilizarov bone transport

Answer 5

Distraction osteogenesis using ex fix

Question 6

Gracilis flap anatomy

Answer 6

Pedicle branch from medial femoral circumflex, pierces muscle on deep surface about 10cm from pubic tubercle, runs deep to adductor longus and superficial to adductor brevis
Type 2 flap- one dominant and multiple minor pedicles
Gracilis origin inferior pubic ramus and insertion pes anserinus of medial tibia