Combined vascularized fibula and peroneal composite-flap transfer for severe heat-press injury of the forearm.
A free combined vascularized fibula and peroneal composite flap was transferred to the forearm in a patient with a severely damaged forearm following a heat-press injury. The operative technique, postoperative management, and subsequent clinical course are described, and the advantages of this method are outlined. Not only can the fibula now be used as a free vascularized bone graft in simple bone defects, but further applications, such as a combined fibula and peroneal composite flap, can be employed in the treatment of severely damaged forearms.
Koshima
I
I
Department of Plastic Surgery, Kawasaki Medical School, Okayama, Japan.
Higaki
H
H
Soeda
S
S
D002056:Burns / Q000601:surgery; D005260:Female; D005360:Fibula / Q000637:transplantation*; D005542:Forearm / Q000098:blood supply; D005543:Forearm Injuries / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D013497:Sural Nerve / Q000637:transplantation*; D013524:Surgical Flaps / Q000379:methods*; D013710:Tendons / Q000637:transplantation*; D014656:Vascular Surgical Procedures / Q000379:methods