Long-term follow-up of a severely traumatized leg treated with ipsilateral fracture-united fibular transfer in a patient with amputation of the contralateral leg: a case report
| Autor: | Kim, Eon Su, Yang, Chae Eun, Kim, Jiye, Kim, Sug Won |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
RD1-811 business.industry Segmental fracture Long term follow up medicine.medical_treatment Soft tissue Case Report Pedicled Flap Free flap medicine.disease Surgery fibula Amputation Extremity/Lymphedema Crush injury lower extremity Medicine Fibula business pedicled flaps tibial defect |
| Zdroj: | Archives of Plastic Surgery, Vol 48, Iss 6, Pp 699-702 (2021) Archives of Plastic Surgery |
| ISSN: | 2234-6171 2234-6163 |
| Popis: | Extensive bone loss associated with severe vascular injury remains a challenge for lower extremity reconstruction. The fibular free flap has been utilized for many decades to reconstruct long-segment tibial defects. We present an unusual scenario of unilateral weight-bearing, wherein we salvaged the sole lower extremity by transfer of the fractured ipsilateral fibula and a bipedicled skin flap. A 38-year-old man sustained a severe crush injury in the right leg with loss of circulation. His left lower leg had a soft tissue defect measuring 20×15 cm with an exposed comminuted fracture and a 17-cm tibial defect, along with a segmental fracture of the fibula. Subsequently, we reconstructed the tibial defect by transferring a 17-cm-long section of the ipsilateral fibula. We covered the soft tissue defect with a bipedicled skin flap. The patient eventually began to ambulate independently after surgery. |
| Databáze: | OpenAIRE |
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