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
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...
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Korean Society of Plastic and Reconstructive Surgeons
2021
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oai:doaj.org-article:0f19ad45c7b744ef9cae531b43dea84e2021-11-25T06:04:37ZLong-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 report2234-61632234-617110.5999/aps.2021.01186https://doaj.org/article/0f19ad45c7b744ef9cae531b43dea84e2021-11-01T00:00:00Zhttp://www.e-aps.org/upload/pdf/aps-2021-01186.pdfhttps://doaj.org/toc/2234-6163https://doaj.org/toc/2234-6171Extensive 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.Eon Su KimChae Eun YangJiye KimSug Won KimKorean Society of Plastic and Reconstructive Surgeonsarticlefibulalower extremitypedicled flapstibial defectSurgeryRD1-811ENArchives of Plastic Surgery, Vol 48, Iss 6, Pp 699-702 (2021) |
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DOAJ |
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| topic |
fibula lower extremity pedicled flaps tibial defect Surgery RD1-811 |
| spellingShingle |
fibula lower extremity pedicled flaps tibial defect Surgery RD1-811 Eon Su Kim Chae Eun Yang Jiye Kim Sug Won Kim 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 |
| description |
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. |
| format |
article |
| author |
Eon Su Kim Chae Eun Yang Jiye Kim Sug Won Kim |
| author_facet |
Eon Su Kim Chae Eun Yang Jiye Kim Sug Won Kim |
| author_sort |
Eon Su Kim |
| title |
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 |
| title_short |
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 |
| title_full |
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 |
| title_fullStr |
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 |
| title_full_unstemmed |
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 |
| title_sort |
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 |
| publisher |
Korean Society of Plastic and Reconstructive Surgeons |
| publishDate |
2021 |
| url |
https://doaj.org/article/0f19ad45c7b744ef9cae531b43dea84e |
| work_keys_str_mv |
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