title: Management of Composite Tissue Defect of the Midfoot With a Free Anterolateral Thigh Flap and Iliac Bone Graft: A Case Report.
abstract: Composite tissue defects of the midfoot with extensive bone and soft tissue loss represent a unique challenge because they can lead to primary amputation if not reconstructed. One should repair both the bone structure and the soft tissue to obtain satisfactory foot function for basic daily activities. In the present study, we report on a case in which we successfully reconstructed an extensive midfoot defect with iliac bone grafts for metatarsal reconstruction and an anterolateral thigh flap for soft tissue coverage. This technique is a safe, reliable, and functional method, offering single-stage reconstruction compared with other microsurgical techniques used for such defects.
authors.affiliation: Associated Professor, Department of Plastic Reconstructive and Aesthetic Surgery, Inonu University Medical Faculty, Malatya, Turkey.
authors.forename: Cemal
authors.initials: C
authors.lastname: Firat
authors.affiliation: Specialist, Department of Plastic Reconstructive and Aesthetic Surgery, Inonu University Medical Faculty, Malatya, Turkey. Electronic address: ahaytekin@gmail.com.
authors.forename: Ahmet Hamdi
authors.initials: AH
authors.lastname: Aytekin
authors.affiliation: Assistant Professor, Department of Plastic Reconstructive and Aesthetic Surgery, Dicle University Medical Faculty, Diyarbakir, Turkey.
authors.forename: Serkan
authors.initials: S
authors.lastname: Erbatur
mesh_terms: D000328:Adult; D016025:Bone Transplantation; D005528:Foot / Q000601:surgery*; D018409:Foot Injuries / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008297:Male; D008682:Metatarsal Bones / Q000293:injuries / Q000601:surgery*; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps; D013848:Thigh; D014947:Wounds and Injuries / Q000601:surgery
keywords: ALT fasciocutaneous flap; bone reconstructive surgery; bone scintigraphy; vacuum-assisted closure