title: Distally based sural island flap for the reconstruction of a large soft tissue defect in an open tibial fracture with occluded anterior and posterior tibial arteries-a case report.
abstract: To repair a 10 x 16 cm soft tissue defect of right lower leg that accompanied with occluded anterior and posterior tibial arteries in a 30-year-old man who sustained comminuted type III(B) Gustilo open tibial and fibular fracture, we present a successful reconstruction by using a large distally based sural island flap perfused by the lowermost perforator of the peroneal artery. This flap is a useful alternative for distal extremity reconstruction when anterior and posterior tibial arteries are occluded, as large flaps can be elevated safely based on only one peroneal perforator.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital in Kaohsiung, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung Hsieh, Taiwan, ROC. chinghua@ha.mc.ntu.edu.tw
authors.forename: C H
authors.initials: CH
authors.lastname: Hsieh
authors.forename: C C
authors.initials: CC
authors.lastname: Liang
authors.forename: N-S
authors.initials: NS
authors.lastname: Kueh
authors.forename: H H
authors.initials: HH
authors.lastname: Tsai
authors.forename: S F
authors.initials: SF
authors.lastname: Jeng
mesh_terms: D000328:Adult; D001157:Arterial Occlusive Diseases / Q000150:complications*; D005597:Fractures, Open / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods; D017695:Soft Tissue Injuries / Q000150:complications / Q000601:surgery*; D013524:Surgical Flaps; D016909:Tibial Arteries; D013978:Tibial Fractures / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome