BACKGROUND Extended Soft tissue defect of leg including middle and distal parts always has been a challenge for many plastic surgeons and also a frustrated problem for patients and families. To introduce the use of the soleus muscle and reverse sural flaps as synchronous surgical treatment alternative of the leg bone exposure with large soft tissue defect, this study was conducted. METHODS T...

Background & Aims: Distal leg, ankle and foot injuries are relatively common; and because of lack of soft tissue and poor blood supply in these areas, one of the common problems in these patients is soft tissue necrosis. Exposed orthopedic implants can be used as open reduction internal fixator (ORIF) in these regions. Methods: During 2013-2014, 14 patients (11 men and 3 women) with a mean age ...

Premature physeal closure (PPC) may lead to clinically significant progressive angular deformity or leg length discrepancy. Many variables seem play a role in determining which injuries result PPC. A 8- year-old boy sustained non-displaced fracture of distal tibia and fibula. He showed no signs PPC at 7 months post-injury. Seven years later, his ankle became painful. had developed fibula causin...

A 23-year-old man with a gunshot injury to the abdomen and cardiac arrest requiring emergency department thoracotomy had a transection of the distal inferior vena cava (IVC) and small bowel injury. Because of persistent hemorrhagic shock, the IVC was ligated. During the next 3 days, he developed worsening bilateral leg edema. He was taken back for reanastomosis of his small bowel and reconstruc...

Lower extremity trauma is extremely common and accounts for almost 15% of emergency room visits,1 with 492,000 tibia, fibula, and ankle fractures per year in the United States.2 Acute injuries are commonly managed primarily by orthopedic surgeons with fracture fixation or stabilization. In complex fractures involving the lower limb, as in Gustilo grade IIIB or IIIC fractures, limb salvage typic...

A man in his 50's with a prior traumatic brain injury and multiple psychiatric disorders developed acute pain and swelling in his left leg distal to the mid shin. These symptoms arose during an exacerbation of his post-traumatic stress disorder (PTSD). Among his traumatic memories, he reported having witnessed the combat injury and death of a friend who had lost his left leg distal to the mid s...

Traumatic rupture of the quadriceps tendon by itself is not an uncommon clinical condition. However, its association with concurrent ipsilateral closed distal tibia oblique fracture is exceedingly rare with only one previously reported case in English literature. The dual diagnosis of this atypical combination of injury may be masked by pain and immobilization of the more obvious fracture and m...

While alpine skiing, a professional skater fell. He was examined at the nearest hospital and diagnosis was distal crural fracture with multifragmentary tibial metaphysis. The patient left the hospital with only temporary immobilization after the suggested treatment for his injury was crural amputation. Thirteen hours after injury he arrived at his home hospital. He was immediately operated on t...

purpose: core stability and leg stiffness are two determinant mechanisms in athletic performance and risk injury. this study aimed to investigate the gender differences and relationship of these two factors in athletes. methods: in this cross-sectional study, core stability and leg stiffness of 12 male and 12 female iranian squash players at national level were examined utilizing mcgill’s test ...