Reconstruction of a severe open tibiofibular fracture using an ipsilateral vascularized fractured fibula with a thoracodorsal artery perforator free flap
Gustillo IIIB tibiofibular fractures often result in long bone loss and extensive soft tissue defects. Reconstruction of these complex wounds is very challenging, especially when it includes long bone grafts, because the donor site is limited. We describe our experience using a set of chimeric ipsilateral vascularized fibula grafts with a thoracodorsal artery perforator free flap to reconstruct the traumatic tibia defects. A sixty-six-year-old male suffered a severe comminuted tibia fracture and segmented fibula fracture with large soft tissue defects as the result of a traffic accident. He also had an open calcaneal fracture with soft tissue defects on the ipsilateral side. All the main vessels of the lower extremity were intact, and the cortical bone defect of the tibia was almost as large as the fractured fibula segment. We used an ipsilateral vascularized fibula graft to reconstruct the tibia and a thoracodorsal artery perforator flap to resurface the soft tissue, using the distal ends of peroneal vessels as named into sequential chimeric flaps. After three weeks, the calcaneal defect was reconstructed with second thoracodorsal artery perforator free flap. Reconstruction was successful and allowed rapid rehabilitation because of reduced donor site morbidity.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Reconstruction of a severe open tibiofibular fracture using an ipsilateral vascularized fractured fibula with a thoracodorsal artery perforator free flap ; day:28 ; month:06 ; year:2023
Archives of Plastic Surgery ; (28.06.2023)
- Contributor
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Chang, Lan Sook
Kim, DaeKwan
Park, Ji Ah
Hwang, Kyu Tae
Kim, Youn Hwan
- DOI
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10.1055/a-2119-3575
- URN
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urn:nbn:de:101:1-2023081012362268952425
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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14.08.2025, 10:58 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Chang, Lan Sook
- Kim, DaeKwan
- Park, Ji Ah
- Hwang, Kyu Tae
- Kim, Youn Hwan
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Mandibular Reconstruction Using the Free Vascularized Fibula Graft: An Overview of Different Modifications
Sternal defect reconstruction using a double-barrel vascularized free fibula flap: a case report
Calcaneal lengthening using ipsilateral fibula autograft in the treatment of symptomatic pes valgus in adolescents
Assessment of vascularized free fibula transplantation revealing a congenital aplastic posterior tibial artery: a case report
The lateral intercostal artery perforator as an alternative donor vessel for free vascularized lymph node transplantation
Automatic segmentation of inconstant fractured fragments for tibia/fibula from CT images using deep learning
Thirty-eight-year follow-up of the first patient of mandibular reconstruction with free vascularized fibula flap
Simultaneous Ipsilateral Vascularized Lymph Node Transplantation and Contralateral Lymphovenous Anastomosis in Bilateral Extremity Lymphedema with Different Severities
Salvage of an Osteocutaneous Fibula Flap with a Variant Perforator of Skin Paddle in Lower Leg Reconstruction
Wadenbein, Fibula.
A Rare Variant of Osteocutaneous Fibula Perforator from Posterior Tibial Artery
Length of Vascularized Fibula Graft Utilized and Union: Is There a Relationship?
Mandibular Reconstruction Using the Free Vascularized Fibula Graft: An Overview of Different Modifications
Sternal defect reconstruction using a double-barrel vascularized free fibula flap: a case report
Calcaneal lengthening using ipsilateral fibula autograft in the treatment of symptomatic pes valgus in adolescents
Assessment of vascularized free fibula transplantation revealing a congenital aplastic posterior tibial artery: a case report
The lateral intercostal artery perforator as an alternative donor vessel for free vascularized lymph node transplantation
Automatic segmentation of inconstant fractured fragments for tibia/fibula from CT images using deep learning
Thirty-eight-year follow-up of the first patient of mandibular reconstruction with free vascularized fibula flap
Simultaneous Ipsilateral Vascularized Lymph Node Transplantation and Contralateral Lymphovenous Anastomosis in Bilateral Extremity Lymphedema with Different Severities
Salvage of an Osteocutaneous Fibula Flap with a Variant Perforator of Skin Paddle in Lower Leg Reconstruction