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.
- Standort
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Deutsche Nationalbibliothek Frankfurt am Main
- Umfang
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Online-Ressource
- Sprache
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Englisch
- Erschienen in
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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)
- Beteiligte Personen und Organisationen
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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
- Rechteinformation
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Letzte Aktualisierung
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14.08.2025, 10:58 MESZ
Datenpartner
Deutsche Nationalbibliothek. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.
Beteiligte
- Chang, Lan Sook
- Kim, DaeKwan
- Park, Ji Ah
- Hwang, Kyu Tae
- Kim, Youn Hwan
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