Formation of osteocartilaginous exostosis resulting from the raising of a lateral supramalleolar flap.
An osteocartilaginous exostosis developed in a 4-year-old boy in whom a distally-based lateral supramalleolar adipofascial flap had been used to cover a defect in the dorsum of the foot. The bony exostosis was first noticed four months after the operation. It was excised with no complications and there has been no recurrence after two years follow-up. The exostosis was thought to result from stripping the perichondrium over the epiphyseal plate while the flap was being raised. This unique complication has not to our knowledge been reported after harvest of a flap before.
Plastic and Reconstructive Surgery Department, University of Selcuk, Konya, Turkey. mkeskin@selcuk.edu.tr
Mustafa
M
Keskin
Nazim
N
Karalezli
Zekeriya
Z
Tosun
Nedim
N
Savaci
D000063:Accidents, Traffic; D002675:Child, Preschool; D005096:Exostoses / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D018409:Foot Injuries / Q000175:diagnosis / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods; D005597:Fractures, Open / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D016038:Skin Transplantation / Q000379:methods; D017695:Soft Tissue Injuries / Q000175:diagnosis / Q000601:surgery; D013524:Surgical Flaps / Q000009:adverse effects* / Q000098:blood supply; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology