Single stage reconstruction of a large tibial defect using a free vascularised osteomyocutaneous ulnar transfer.
We present the case of a young man with 13 cm of bone and soft-tissue loss in the tibia and a severe traction injury of the brachial plexus. A free vascularised composite transfer of the bone and soft tissues of the ulnar side of the forearm was undertaken to reconstruct the defect. Bony union was achieved after a year and was followed by complete functional recovery of the lower limb.
Schuind
F
F
Department of Orthopaedics and Traumatology, Cliniques Universitaires de Bruxelles, Hôpital Erasme, Belgium.
Burny
F
F
Quintin
J
J
Potaznik
A
A
Pasteels
J L
JL
D000328:Adult; D001917:Brachial Plexus / Q000293:injuries; D005597:Fractures, Open / Q000601:surgery*; D015775:Fractures, Stress / Q000209:etiology; D006801:Humans; D007869:Leg Injuries / Q000601:surgery; D008297:Male; D009104:Multiple Trauma / Q000601:surgery*; D009336:Necrosis; D011183:Postoperative Complications; D013524:Surgical Flaps / Q000009:adverse effects; D013978:Tibial Fractures / Q000601:surgery*; D016042:Transplantation, Heterotopic; D014457:Ulna / Q000098:blood supply / Q000473:pathology / Q000637:transplantation*