title: One-stage treatment of open tibial fracture in a child using a distally based sural artery flap: a case report.
abstract: Open fractures in children have a high level of morbidity and require early treatment. This case describes the successful treatment of a child who sustained an open tibial fracture with soft tissue loss. The fracture was stabilized with a monolateral external fixator devised in our clinic, and the soft tissue loss was covered with a distally based sural artery flap. The flap is simple, can be done quickly, and a surgeon does not need microsurgical or specialty training to perform the operation. This combined use of external fixation and distally based sural artery flap is a straightforward technique in distal tibial open fractures of children with soft tissue loss.
authors.affiliation: Department of Orthopedics and Traumatology, Division of Hand-Upper Extremity and Microsurgery, Medical Faculty, Selçuk University, Kennedy cad. Billur sok. 44/10 06700, G.O.P. Ankara, Turkey.
authors.forename: T C
authors.initials: TC
authors.lastname: Oğün
authors.forename: M
authors.initials: M
authors.lastname: Arazi
authors.forename: M
authors.initials: M
authors.lastname: Ozdemir
authors.forename: A
authors.initials: A
authors.lastname: Sarlak
mesh_terms: D000293:Adolescent; D003131:Combined Modality Therapy; D016267:External Fixators; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000295:instrumentation* / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D005597:Fractures, Open / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D018482:Muscle, Skeletal / Q000637:transplantation; D020127:Recovery of Function; D013524:Surgical Flaps; D013978:Tibial Fractures / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D014948:Wounds, Gunshot / Q000175:diagnosis / Q000601:surgery*