title: Functional lower limb salvage with an osteocutaneous filet flap of the foot.
abstract: An osteocutaneous foot filet flap based on the posterior tibial vessels was successfully used to provide tibial coverage in a patient requiring a below-knee amputation following a high-voltage electrical injury. Addition of the calcaneus to the standard foot filet flap provided a vascularized bone graft that served to both lengthen the tibia and secure the flap via a tibial-calcaneal synostosis. The synostosis provided firm anchoring of the flap and allowed for a partial end-bearing, below-knee prosthesis.
authors.affiliation: Department of Orthopaedic Surgery, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
authors.forename: S J
authors.initials: SJ
authors.lastname: Hegstad
authors.forename: A A
authors.initials: AA
authors.lastname: Smith
authors.forename: B M
authors.initials: BM
authors.lastname: Patterson
authors.forename: C M
authors.initials: CM
authors.lastname: Kelly
authors.forename: N B
authors.initials: NB
authors.lastname: Meland
mesh_terms: D000368:Aged; D005500:Follow-Up Studies; D005528:Foot / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D009336:Necrosis / Q000473:pathology / Q000601:surgery; D013524:Surgical Flaps; D013580:Synostosis; D014182:Transplantation, Autologous