Reconstruction of metatarsal bone defects with a free fibular osteomyocutaneous flap incorporating soleus muscle.
Severe traumatic bone and soft-tissue defects are often treated by lower leg amputation. The amputation level becomes a very important factor with respect to the patient's basic daily activities. We report the case of a 51-year-old man who was referred to us with severe traumatic metatarsal bone and dorsum pedis skin and soft-tissue defects. To avoid amputation, a free fibular osteomyocutaneous flap incorporating the soleus muscle was used to reconstruct the second and third metatarsal bones and the soft-tissue defect, respectively. Now, 2 years after the procedure, the patient is able to walk independently. To the best of our knowledge, this is the first report of use of such a composite transfer for a complex midfoot defect.
Department of Plastic and Reconstructive Surgery, The University of Tokushima Graduate School, Kuramoto-cho, Tokushima, Japan.
Yutaro
Y
Yamashita
Ichiro
I
Hashimoto
Keiichi
K
Goishi
Yutaka
Y
Fukunaga
Yoshiro
Y
Abe
Hideki
H
Nakanishi
D000062:Accidents, Occupational; D016025:Bone Transplantation / Q000379:methods; D005360:Fibula / Q000601:surgery / Q000637:transplantation*; D005500:Follow-Up Studies; D018409:Foot Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D050723:Fractures, Bone / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D015601:Injury Severity Score; D023821:Limb Salvage / Q000379:methods*; D008297:Male; D008682:Metatarsal Bones / Q000293:injuries*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D017695:Soft Tissue Injuries / Q000175:diagnosis / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology