Management of massive traumatic compound defects of the foot.
The management of high-energy trauma to the foot often requires multiple tissues reconstructive procedures with various technical options. The authors report the case of a patient presenting an extensive defect of the medioplantar region of the right foot involving an almost complete (90%) medial cuneiform bone loss. A deferred operation with saphenous cross-leg flap and interposition of a cement spacer was first performed. Reconstruction of the bone defect with corticocancellous iliac bone graft was subsequently carried out at two months post-trauma. At four months follow-up, the bone and soft tissues healing were good. At 24 months follow-up, the patient could return to normal professional and sports activities. The saphenous cross-leg flap has proven to be a reliable reconstructive procedure. The use of the modified Masquelet technique ensured an anatomical reconstruction and a satisfying final functional outcome.
Orthopaedic Department 3, CHRU Lapeyronie, 371, avenue du Doyen-Giraud, 34295 Montpellier cedex 5, France. arnaudlargey@hotmail.com
A
A
Largey
A
A
Faline
W
W
Hebrard
M
M
Hamoui
F
F
Canovas
D000063:Accidents, Traffic; D018409:Foot Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D012501:Saphenous Vein / Q000637:transplantation; D013524:Surgical Flaps / Q000098:blood supply*; D055815:Young Adult