title: Free osteocutaneous scapular apophysis flap for reconstruction of the lateral malleolus.
abstract: Lateral malleolus avulsion is uncommon, and fusion of the syndesmosis of the ankle joint is usually performed in such cases. Others have reported successful reconstruction of the lateral malleolus with a vascularized fibular head. A case of reconstruction in a 17-year-old girl, with a free scapular apophysis flap, is presented and compared with alternative flaps available. The anatomy and development of the scapular crest with its cartilaginous apophysis are discussed.
authors.affiliation: Department of Orthopedic Surgery and Burn and Plastic Surgery Center, Lapeyronie Hospital, Montpellier, France.
authors.forename: P
authors.initials: P
authors.lastname: Faure
authors.forename: F
authors.initials: F
authors.lastname: Canovas
authors.forename: F
authors.initials: F
authors.lastname: Bonnel
authors.forename: L
authors.initials: L
authors.lastname: Teot
authors.forename: F
authors.initials: F
authors.lastname: Quatra
authors.forename: U M
authors.initials: UM
authors.lastname: Giovannini
authors.forename: M R
authors.initials: MR
authors.lastname: Colonna
mesh_terms: D000293:Adolescent; D016512:Ankle Injuries / Q000503:physiopathology / Q000601:surgery*; D000843:Ankle Joint / Q000502:physiology; D005260:Female; D006801:Humans; D013524:Surgical Flaps