{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,15]],"date-time":"2025-06-15T04:05:15Z","timestamp":1749960315233,"version":"3.41.0"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Summary:<\/jats:title>\n          <jats:p>Nonunited fractures of the femoral shaft and distal femur are usually successfully addressed with stabilization with or without autogenous bone grafting. For the small subset of these problems that prove recalcitrant to front-line treatment, a pedicled medial femoral condyle (MFC) bone flap can provide a source of vascularized autograft with minimal donor site morbidity. The MFC has gained recent widespread adoption as a free vascularized bone transfer, and here, we present a surgical technique and retrospective analysis of patients treated with a pedicled MFC technique. This serves as a useful treatment option for these difficult problems and may be especially helpful in low resource environments or where microsurgical anastomosis is not feasible.<\/jats:p>","DOI":"10.1097\/bot.0000000000002186","type":"journal-article","created":{"date-parts":[[2021,5,30]],"date-time":"2021-05-30T00:17:29Z","timestamp":1622333849000},"page":"e80-e80","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Treatment of Recalcitrant Femoral Shaft Nonunion With Medial Femoral Condyle Pedicled Autograft: Technical Trick"],"prefix":"10.1097","volume":"36","author":[{"given":"Graham J.","family":"DeKeyser","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Travis L.","family":"Bailey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas F.","family":"Higgins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew R.","family":"Tyser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20250614","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1097\/00005131-200207000-00005","article-title":"The treatment of nonunions following intramedullary nailing of femoral shaft fractures","volume":"16","author":"Pihlajam\u00e4ki","year":"2002","journal-title":"J Orthop Trauma"},{"key":"R2-20250614","doi-asserted-by":"crossref","first-page":"296","DOI":"10.5435\/00124635-200905000-00004","article-title":"Intramedullary nailing of femoral shaft fractures: current concepts","volume":"17","author":"Ricci","year":"2009","journal-title":"J Am Acad Orthop Surg."},{"key":"R3-20250614","first-page":"663","article-title":"Trochanteric versus piriformis entry portal for the treatment of femoral shaft fractures","volume":"20","author":"Ricci","year":"2006","journal-title":"J Orthop Trauma"},{"key":"R4-20250614","doi-asserted-by":"crossref","first-page":"529","DOI":"10.2106\/00004623-198466040-00006","article-title":"Closed intramedullary nailing of femoral fractures. 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