title: [Fibular head composite flap for bone and skin defect at medial malleolus in children: a report of 4 cases].
abstract: OBJECTIVE
  To investigate the therapeutic effect of fibular head composite flap for bone and skin defect at medial malleolus in children.
  
  
  METHODS
  From Aug. 2005 to Apr. 2009, 4 children cases (2 male, 2 female, from 3 to 11 year) with bone and skin defect at medial malleolus were reconstructed with fibular head composite flaps pedicled with lateral inferior genicular vascular bundle. The skin defect was 3- 6 cm x 8-10 cm in size.
  
  
  RESULTS
  All the 4 composite flaps survived completely. The patients were followed up for 4 months to 4 years with good bony healing. Both esthetic and functional results were satisfactory in ankle joint.
  
  
  CONCLUSIONS
  The fibular head composite tissue flap has a good therapeutic effect for bone and skin defect at medial malleolus in children.
authors.affiliation: The Traumatic Centre 89th Hospital of PLA, Weifang 261021, China.
authors.forename: Yong
authors.initials: Y
authors.lastname: Liu
authors.forename: Cheng-Jin
authors.initials: CJ
authors.lastname: Zhang
authors.forename: Xing-Mao
authors.initials: XM
authors.lastname: Fu
authors.forename: Jian-Li
authors.initials: JL
authors.lastname: Wang
authors.forename: Cheng-Qi
authors.initials: CQ
authors.lastname: Wang
mesh_terms: D016512:Ankle Injuries / Q000601:surgery*; D001842:Bone and Bones / Q000293:injuries; D002648:Child; D002675:Child, Preschool; D005260:Female; D005360:Fibula / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017695:Soft Tissue Injuries / Q000601:surgery; D013524:Surgical Flaps; D016896:Treatment Outcome