title: Reconstruction of Traumatic Composite Tissue Defect of Medial Longitudinal Arch With Free Osteocutaneous Fibular Graft.
abstract: A 34-year-old male sustained a crush injury resulting in bone and soft tissue loss along the medial longitudinal arch of his left foot. Specifically, the injury resulted in loss of first metatarsal without injury to the medial cuneiform or proximal phalanx, fracture of the third metatarsal, and a 5-cm × 9-cm soft tissue defect overlying the dorsomedial aspect of the right foot. After debridement and daily wound care, the defect was subsequently reconstructed using a free osteocutaneous fibular graft. Approximately 6 months after reconstructive surgery, the patient returned to his job without pain, and his pedogram showed almost equal weightbearing distribution on both feet.
authors.affiliation: Assistant Professor, Department of Orthopaedics and Traumatology, Istanbul Medipol University Medical Faculty, Istanbul, Turkey.
authors.forename: Mehmet Bekir
authors.initials: MB
authors.lastname: Unal
authors.affiliation: Assistant Professor, Department of Orthopaedics and Traumatology, Istanbul Medipol University Medical Faculty, Istanbul, Turkey. Electronic address: aliseker@doctor.com.
authors.forename: Ali
authors.initials: A
authors.lastname: Seker
authors.affiliation: Professor, Department of Orthopaedics and Traumatology, Istanbul Medipol University Medical Faculty, Istanbul, Turkey.
authors.forename: Bahtiyar
authors.initials: B
authors.lastname: Demiralp
authors.affiliation: Assistant Professor, Department of Orthopaedics and Traumatology, Istanbul Medipol University Medical Faculty, Istanbul, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Sahin
authors.affiliation: Assistant Professor, Department of Orthopaedics and Traumatology, Istanbul Medipol University Medical Faculty, Istanbul, Turkey.
authors.forename: Hakan Turan
authors.initials: HT
authors.lastname: Cift
authors.affiliation: Assistant Professor, Department of Orthopaedics and Traumatology, Istanbul Medipol University Medical Faculty, Istanbul, Turkey.
authors.forename: Ismail
authors.initials: I
authors.lastname: Oltulu
mesh_terms: D000328:Adult; D016025:Bone Transplantation; D000071576:Crush Injuries; D003646:Debridement; D005360:Fibula / Q000637:transplantation; D018409:Foot Injuries / Q000601:surgery*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000293:injuries*; D019651:Plastic Surgery Procedures / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps
keywords: creeping substitution; crush injury; fibula; first metatarsal; free flap; open fracture; trauma