title: Reconstruction of compound loss of lateral malleolus and lateral ankle ligaments with double-bundle Achilles tendon-bone allograft.
abstract: Open ankle fracture, including compound loss of the lateral malleolus, lateral ankle ligaments, and overlying skin, is a severe injury and can result in ankle instability and permanent disability. Treatment of this injury is challenging and requires bone grafting and soft tissue reconstruction. In the present report, we describe a unique reconstruction technique for compound loss of the lateral malleolus, lateral ankle ligaments, and the overlying skin using a double-bundle Achilles tendon-bone allograft combined with a reverse sural fasciocutaneous flap. The patient obtained a stable ankle with nearly full range of motion and displayed satisfactory function during the follow-up period.
authors.affiliation: Department of Orthopaedic Surgery, Konkuk University School of Medicine, Chungju, Korea. Electronic address: kodukan@naver.com.
authors.forename: Dukhwan
authors.initials: D
authors.lastname: Ko
authors.affiliation: Department of Orthopaedic Surgery, Konkuk University School of Medicine, Chungju, Korea.
authors.forename: Hong-Geun
authors.initials: HG
authors.lastname: Jung
authors.affiliation: Department of Orthopaedic Surgery, Konkuk University School of Medicine, Chungju, Korea.
authors.forename: Hyeung-June
authors.initials: HJ
authors.lastname: Kim
authors.affiliation: Department of Orthopaedic Surgery, Konkuk University School of Medicine, Chungju, Korea.
authors.forename: Seung-Han
authors.initials: SH
authors.lastname: Cha
authors.affiliation: Department of Orthopaedic Surgery, Konkuk University School of Medicine, Chungju, Korea.
authors.forename: Kyoung-Mo
authors.initials: KM
authors.lastname: Nam
mesh_terms: D000063:Accidents, Traffic; D000125:Achilles Tendon / Q000637:transplantation*; D000328:Adult; D064591:Allografts; D064386:Ankle Fractures; D016025:Bone Transplantation; D002111:Calcaneus / Q000637:transplantation; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008023:Ligaments, Articular / Q000293:injuries* / Q000601:surgery*; D008297:Male; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps
keywords: ankle; bone allograft; compound tissue loss; reverse sural flap; tendon