Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4118774 | Journal of Plastic, Reconstructive & Aesthetic Surgery | 2013 | 4 Pages |
Abstract
SummarySevere 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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Authors
Yutaro Yamashita, Ichiro Hashimoto, Keiichi Goishi, Yutaka Fukunaga, Yoshiro Abe, Hideki Nakanishi,