Simultaneous Free Fibula and Anterolateral Thigh Flap in Lower Extremity Reconstruction Following Osteomyelitis in a Trauma Patient: A Case Report
نویسندگان
چکیده
This case report focuses on a 17-year-old polytrauma patient who suffered septic wound infection after an open reduction and internal fixation (ORIF) soft tissue reconstruction with pedicled flap, which led to substantial bone defect of the lower leg. After thorough antibiotic treatment ensuring non-septic wound, was reconstructed using contralateral free fibula flap designed as flow through in double loop manner accommodate two fibular fragments ipsilateral ALT flap. Early weight bearing initiated 11 days transfer under external fixation, full achieved 36 fixation. removal able be reinitiated 13 days, leading patient’s return normal activity 6 months bony reconstruction. presents innovative approach treating complex defect, final decision separate flaps instead single osteofasciocutaneous resulting good coverage, use enabling early rehabilitation.
منابع مشابه
Lower Extremity Reconstruction Using Vastus Lateralis Myocutaneous Flap versus Anterolateral Thigh Fasciocutaneous Flap
BACKGROUND The anterolateral thigh (ALT) perforator flap has become a popular option for treating soft tissue defects of lower extremity reconstruction and can be combined with a segment of the vastus lateralis muscle. We present a comparison of the use of the ALT fasciocutaneous (ALT-FC) and myocutaneous flaps. METHODS We retrospectively reviewed patients in whom free-tissue transfer was per...
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ژورنال
عنوان ژورنال: Medicina-lithuania
سال: 2023
ISSN: ['1010-660X', '1648-9144']
DOI: https://doi.org/10.3390/medicina59071206