Journal of Orthopaedic Trauma · 1992 · 12 citations · 0 references
MedicineOrthopaedic SurgerySurgeryBone GraftingMicrosurgeryOrthopedicsFracture FixationFree Flap ReconstructionLimb SalvageLimb Salvage SurgeryLower Extremity ReconstructionOsteocutaneous FlapsCalcaneal Bone GraftingCalcaneal Fracture FixationCalcaneal Fracture SurgeryCutaneous Flap ReconstructionFree Vascularized Fibular GraftingTalar Fracture FixationTibiotalar FusionVascularized Fibular Graft
An operation is described in which a free vascularized fibular graft with a peroneal cutaneous flap is used for tibio-talo-calcaneal fusion and simultaneous skin coverage in treatment of comminuted open fractures of the talus and the calcaneus involving large skin loss. Nine months postoperatively, the tibio-talo-calcaneal arthrodesis was successful, with good coverage of the skin defect on the medial aspect of the sole. One year 7 months postoperatively, the patient is free of pain and able to walk with full weightbearing on the foot.