title: Reconstruction of the one-digit foot with an osteocutaneous fibula flap: a case report.
abstract: The decision to amputate or reconstruct after high-energy foot injuries is controversial. A 25-year-old male patient was admitted to our clinic with a complex injury to his left foot sustained during a mine explosion, and the second to fifth digits and metatarsals of the left foot had been traumatically amputated before admission to our facility. The complex left foot defect was reconstructed with an osteocutaneous fibula flap during a single session. An osteotomy was performed on the bone segment of the flap, and both lateral longitudinal and transverse arches were repaired. Both aesthetic and functional outcomes were very satisfactory, including independent ambulation, light jogging, and full performance of activities of daily living without limitation. Many factors, including comorbidities, should be considered during the decision-making process of amputating or reconstructing complex foot injuries.
authors.forename: Ismail
authors.initials: I
authors.lastname: Sahin
authors.forename: Mustafa
authors.initials: M
authors.lastname: Nisanci
authors.forename: Andac
authors.initials: A
authors.lastname: Aykan
authors.forename: Serbulent
authors.initials: S
authors.lastname: Guzey
authors.forename: Serdar
authors.initials: S
authors.lastname: Ozturk
authors.forename: Selcuk
authors.initials: S
authors.lastname: Isik
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic; D001753:Blast Injuries / Q000601:surgery*; D005360:Fibula / Q000637:transplantation*; D018409:Foot Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D013524:Surgical Flaps