advertising
-
1
Wettstein R, Schurch R, Banic A, et al: Review of 197 consecutive free flap reconstructions in the lower extremity. J Plast Reconstr Aesthet Surg 61: 772, 2008.
-
2
Ong YS, Levin LS: Lower limb salvage in trauma. Plast Reconstr Surg 125: 582, 2010.
-
3
Selmanpakoglu N, Guler M, Sengezer M, et al: Reconstruction of foot defects due to mine explosion using muscle flaps. Microsurgery 18: 182, 1998.
-
4
Cordeiro PG, Disa JJ, Hidalgo DA, et al: Reconstruction of the mandible with osseous free flaps: A 10-year experience with 150 consecutive patients. Plast Reconstr Surg 104: 1314, 1999.
-
5
Newington DP, Sykes PJ: The versatility of the free fibula flap in the management of traumatic long bone defects. Injury 22: 275, 1991.
-
6
Helfet DL, Howey T, Sanders R, et al: Limb salvage versus amputation: preliminary results of mangled extremity severity score. Clin Orthop 256: 80, 1990.
-
7
Johansen K, Daines M, Howey T, et al: Objective criteria accurately predict amputation following extremity trauma. J Trauma 30: 568, 1990.
-
8
Yazar S, Lin CH, Wei FC: One-stage reconstruction of composite bone and soft-tissue defects in traumatic lower extremities. Plast Reconstr Surg 114: 1457, 2004.
-
9
Mosher CM: The Papineau bone graft: A limb salvage technique. Orthop Nurs 10: 27, 1991.
-
10
Roll C, Prantl L, Nerlich M, et al: Osteo-fasciocutaneous parascapular flap transfer for reconstruction of the first ray of the foot. Arch Orthop Trauma Surg 128: 857, 2008
-
11
Gomez MM, Casal D: Reconstruction of large defect of foot with extensive bone loss exclusively using a latissimus dorsi muscle free flap: a potential new indication for this flap. J Foot Ankle Surg 51: 215, 2012
-
12
Salgado CJ, Lin CH, Fuller DA, et al: Foot salvage after loss of the first and second metatarsal rays with a free fibular osteocutaneous flap. JAPMA 101: 531, 2011.
-
13
Tan O, Atik B, Ergen D: Management of a composite foot defect due to mine explosion using the free fibula osteocutaneous flap. J Reconstr Microsurg 24: 53, 2008.
-
14
Lykoudis EG, Dimitrios P, Alexandros BE: One-stage reconstruction of the complex midfoot defect with a multiple osteotomized free fibular osteocutaneous flap: case report and literature review. Microsurgery 30: 64, 2010.
-
15
Celiköz B, Sengezer M, Işik S, et al: Subacute reconstruction of lower leg and foot defects due to high velocity-high energy injuries caused by gunshots, missiles, and land mines. Microsurgery 25: 3, 2005.
Reconstruction of the One-Digit Foot with an Osteocutaneous Fibula Flap
A Case Report
Search for other papers by Ismail Sahin in
Current site
Google Scholar
PubMed
Search for other papers by Mustafa Nisanci in
Current site
Google Scholar
PubMed
Search for other papers by Andac Aykan in
Current site
Google Scholar
PubMed
Search for other papers by Serbulent Guzey in
Current site
Google Scholar
PubMed
Search for other papers by Serdar Ozturk in
Current site
Google Scholar
PubMed
Search for other papers by Selcuk Isik in
Current site
Google Scholar
PubMed
The decision to amputate or reconstruct after high-energy foot injuries is controversial. A 25-year-old male patient was admitted to our clinic with a complex injury to his left foot sustained during a mine explosion, and the second to fifth digits and metatarsals of the left foot had been traumatically amputated before admission to our facility. The complex left foot defect was reconstructed with an osteocutaneous fibula flap during a single session. An osteotomy was performed on the bone segment of the flap, and both lateral longitudinal and transverse arches were repaired. Both aesthetic and functional outcomes were very satisfactory, including independent ambulation, light jogging, and full performance of activities of daily living without limitation. Many factors, including comorbidities, should be considered during the decision-making process of amputating or reconstructing complex foot injuries.
advertising
