title: Reconstruction and anticipatory Langenskiöld procedure in traumatic defect of tibial medial malleolus with type 6 physeal fracture.
abstract: Traumatic osteoarticular or ligament defect of the tibial medial malleolus is a rare entity in children. Associated lesions may include soft tissue and joint defect, subsequent instability of the ankle, and growth arrest. We report here, the case of an 11-year-old boy, a victim of a severe trauma to the ankle, managed by an original technique. It combined a reconstruction by a composite iliac crest and gluteal fascia graft, an anticipatory Langenskiold procedure, and a serratus anterior muscle flap. This original technique proved to be a suitable alternative in this type of trauma.
authors.affiliation: Service d'Orthopédie Traumatologie, Hôpital des Enfants de Toulouse, Toulouse, France. olivier.abbo@inserm.fr
authors.forename: Olivier
authors.initials: O
authors.lastname: Abbo
authors.forename: Frank
authors.initials: F
authors.lastname: Accadbled
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Laffosse
authors.forename: Jérome Sales
authors.initials: JS
authors.lastname: De Gauzy
mesh_terms: D016512:Ankle Injuries / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D016025:Bone Transplantation; D002648:Child; D006132:Growth Plate / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000637:transplantation; D015601:Injury Severity Score; D007869:Leg Injuries / Q000473:pathology / Q000601:surgery; D008297:Male; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*; D000072042:Salter-Harris Fractures; D016038:Skin Transplantation; D017695:Soft Tissue Injuries / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D013977:Tibia / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome