title: Reconstruction of midfoot bone and soft tissue loss with chimeric partial scapula and latissimus dorsi muscle flap and short perforator-based skin flap following gunshot injuries: Report of two cases.
abstract: In this report we present two cases of gunshot injury related midfoot defects, reconstructed with a chimeric partial scapula and latissimus dorsi muscle flap and short perforator-based skin flap. The first case, a 14 years old male, had 10 × 8 cm medial plantar and 6 × 4 cm dorsal foot defects and the second case, a 55 years old female, had only 8 × 6 cm dorsal foot defect. In both cases the defects were associated with fractures, one with lateral cuneiform and cuboid with 90% bone loss and the other with navicular bone, respectively. After 6 months, the patients could walk well without support, and radiographs confirmed bony union. A chimeric partial scapula and latissimus dorsi muscle flap and short perforator-based skin flap may be used for the reconstruction of combined bony and soft tissue defects of the midfoot and to promote bone healing. © 2016 Wiley Periodicals, Inc. Microsurgery 36:598-603, 2016.
authors.affiliation: Medical Faculty, Department of Plastic and Reconstructive Surgery, Akdeniz University, Antalya, Turkey. ozcanarzu79@yahoo.com.
authors.forename: Arzu
authors.initials: A
authors.lastname: Ozcan Akcal
authors.affiliation: Medical Faculty, Department of Plastic and Reconstructive Surgery, Akdeniz University, Antalya, Turkey.
authors.forename: Kerim
authors.initials: K
authors.lastname: Ünal
authors.affiliation: Medical Faculty, Department of Plastic and Reconstructive Surgery, Bulent Ecevit University, Zonguldak, Turkey.
authors.forename: Tahsin
authors.initials: T
authors.lastname: Gorgulu
authors.affiliation: Department of Orthopedic and Traumatology, Ataturk State Hospital, Antalya, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Akif Akcal
authors.affiliation: Faculty of Medicine, Department of Anesthesiology and Reanimation, Akdeniz University, Antalya, Turkey.
authors.forename: Zekiye
authors.initials: Z
authors.lastname: Bigat
mesh_terms: D000293:Adolescent; D005260:Female; D005529:Foot Bones / Q000293:injuries / Q000601:surgery; D018409:Foot Injuries / Q000601:surgery*; D050723:Fractures, Bone / Q000601:surgery; D058752:Free Tissue Flaps / Q000637:transplantation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012540:Scapula / Q000637:transplantation*; D017695:Soft Tissue Injuries / Q000601:surgery*; D064171:Superficial Back Muscles / Q000637:transplantation*; D014948:Wounds, Gunshot / Q000601:surgery*
keywords: chimeric flap; mid foot; scapulae bone