Capitellum Reconstruction Using Metatarsal Head Vascularized Transfer
Pilar Aparicio, FEBOT1*, José Torres1, Enric Domínguez1, Juan Castellanos1 and Óscar Izquierdo1,2
1 Hand and Microsurgery Unit, Orthopaedics Department, Parc Sanitari Sant Joan de Déu de Sant Boi de Llobregat, Barcelona, Spain.
2 Hand and Microsurgery Unit, Egarsat, Barcelona, Spain.
*Corresponding Author: Pilar Aparicio, FEBOT, Hand and Microsurgery Unit, Orthopaedics Department, Parc Sanitari Sant Joan de Déu de Sant Boi de Llobregat, Barcelona, Spain.
DOI: https://doi.org/10.58624/SVOAOR.2023.03.060
Received: November 09, 2023 Published: December 15, 2023
Abstract
Treatment for the sequelae of capitellum fractures is not commonly described in the literature. We present a unique case of a capitellum reconstruction with a vascularized ossseus graft from the second metatarsal bone. A woman of 53 years old fell down and presented a capitellum fracture that was fixed with two cannulated screws, after 6 months the radiograph showed signs of necrosis of the capitellum, the patient was disabled and a surgery was offered. We reconstructed her capitellum by means of a vascularized osteochondral flap from the second metatarsal bone, and end-to-side anastomosis to the radial artery was performed and two cannulated screws were used to fix the graft to the humeral lateral column. After almost two years of follow up the patient is free of pain and is able to perform the activity of the daily live. The vascularized transfer from the foot is a valid technique for the reconstruction of the capitellum in non-synthesizable fractures mainly when the lateral column of the humerus is affected. The complications in the donor site are minimal.
Keywords: Capitellum Reconstruction, Vascularized Transfer, Vascularized Ossseus Graft , Capitellum Fractures
Citation: Izquierdo O, Aparicio P, Domínguez E, Castellanos J. Capitellum Reconstruction Using Metatarsal Head Vascularized Transfer. SVOA Orthopaedics 2023, 3:6, 188-191.