Application of a fasciocutaneous free flap for treatment of a severe soft tissue injury of the foot and ankle: a case report.
The authors report an unusual case wherein a fasciocutaneous free flap from an amputated upper limb was used to repair a severe soft tissue injury of the ipsilateral forefoot and ankle. After amputating the nonviable portions of the forefoot, a residual limb flap from the patient's forearm, pedicled with the brachial artery, was used to cover the lower extremity defect. Three years after the injury, the patient was able to maintain balance and ambulate without assistance on the reconstructed lower extremity.


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Department of Orthopaedics, General Hospital of Jinan Military Command, No. 46 Shifan Road, Jinan, People's Republic of China. zhaogang198@163.com
Gang
G
Zhao
Xue-Cheng
XC
Cao
Cheng-Lin
CL
Sang
Jin-long
JL
Zheng
Jin-Fang
JF
Cai
D016512:Ankle Injuries / Q000175:diagnosis / Q000601:surgery*; D002058:Burns, Electric / Q000175:diagnosis / Q000601:surgery*; D005205:Fascia / Q000637:transplantation*; D005500:Follow-Up Studies; D018409:Foot Injuries / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D016038:Skin Transplantation / Q000379:methods*; D017695:Soft Tissue Injuries / Q000175:diagnosis / Q000601:surgery*; D013524:Surgical Flaps