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 grafts, because the donor site limited. We describe our experience using a set chimeric ipsilateral vascularized fibula grafts with thoracodorsal artery perforator free flap to reconstruct traumatic tibia A sixty-six-year-old male suffered severe comminuted fracture segmented large defects as traffic accident. He also had an open calcaneal on side. All main vessels lower extremity were intact, cortical defect was almost fractured segment. used graft resurface tissue, distal ends peroneal named into sequential flaps. After three weeks, reconstructed second flap. successful allowed rapid rehabilitation reduced morbidity.