title: Tibio-talo-calcaneal fusion with a free vascularized fibular graft in comminuted open fractures of the talus and the calcaneus.
abstract: An operation is described in which a free vascularized fibular graft with a peroneal cutaneous flap is used for tibio-talo-calcaneal fusion and simultaneous skin coverage in treatment of comminuted open fractures of the talus and the calcaneus involving large skin loss. Nine months postoperatively, the tibio-talo-calcaneal arthrodesis was successful, with good coverage of the skin defect on the medial aspect of the sole. One year 7 months postoperatively, the patient is free of pain and able to walk with full weightbearing on the foot.
authors.affiliation: Department of Orthopaedic Surgery, Saitama Medical Center, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Kusakabe
authors.forename: M
authors.initials: M
authors.lastname: Takagi
authors.forename: N
authors.initials: N
authors.lastname: Tsuzuki
mesh_terms: D001174:Arthrodesis / Q000379:methods*; D002111:Calcaneus / Q000293:injuries*; D005360:Fibula / Q000637:transplantation; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps; D013628:Talus / Q000293:injuries*