Reconstruction of metatarsal bone defects with a free fibular osteomyocutaneous flap incorporating soleus muscle
2012; Elsevier BV; Volume: 66; Issue: 2 Linguagem: Inglês
10.1016/j.bjps.2012.07.029
ISSN1878-0539
AutoresYutaro Yamashita, Ichiro Hashimoto, Keiichi Goishi, Yutaka Fukunaga, Yoshiro Abe, Hideki Nakanishi,
Tópico(s)Bone fractures and treatments
ResumoSevere traumatic bone and soft-tissue defects are often treated by lower leg amputation. The amputation level becomes a very important factor with respect to the patient's basic daily activities. We report the case of a 51-year-old man who was referred to us with severe traumatic metatarsal bone and dorsum pedis skin and soft-tissue defects. To avoid amputation, a free fibular osteomyocutaneous flap incorporating the soleus muscle was used to reconstruct the second and third metatarsal bones and the soft-tissue defect, respectively. Now, 2 years after the procedure, the patient is able to walk independently. To the best of our knowledge, this is the first report of use of such a composite transfer for a complex midfoot defect.
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