Peroneal osteocutaneous flap raised on reconstructed popliteal artery for delayed union following open tibial fractures.
Two cases of delayed union following type IIIC open tibial fracture were treated by a pedicled peroneal osteocutaneous flap raised on reconstructed popliteal vessels. Dissection of the peroneal vessels from the already traumatized extremity was tedious, but this technique provided a reliable vascularized skin and bone graft that was indispensable for the fracture healing. Peroneal osteocutaneous flaps raised on the reconstructed popliteal artery have not been reported to date; they appear to be a good alternative to free osteocutaneous flaps for non-union of the proximal tibia.
Saitoh
S
S
Department of Orthopaedics, Shinshu University School of Medicine, Matsumoto, Japan.
Matsuda
S
S
Nakatsuchi
Y
Y
Takaoka
K
K
D000328:Adult; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D013524:Surgical Flaps / Q000379:methods*; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*