Perforator Propeller Flap for the Coverage of Soft Tissue Defect of Distal Third of Lower Extremity

2020 ◽  
Vol 08 (07) ◽  
Author(s):  
Dr Pruthwiraj Singh ◽  
Microsurgery ◽  
2013 ◽  
Vol 34 (3) ◽  
pp. 183-187 ◽  
Author(s):  
Melissa Mastroianni ◽  
Angelo A. Leto Barone ◽  
Kumaran Shanmugarajah ◽  
David A. Leonard ◽  
Luigi Di Rosa ◽  
...  

2021 ◽  
Vol 48 (6) ◽  
pp. 699-702
Author(s):  
Eon Su Kim ◽  
Chae Eun Yang ◽  
Jiye Kim ◽  
Sug Won Kim

Extensive bone loss associated with severe vascular injury remains a challenge for lower extremity reconstruction. The fibular free flap has been utilized for many decades to reconstruct long-segment tibial defects. We present an unusual scenario of unilateral weight-bearing, wherein we salvaged the sole lower extremity by transfer of the fractured ipsilateral fibula and a bipedicled skin flap. A 38-year-old man sustained a severe crush injury in the right leg with loss of circulation. His left lower leg had a soft tissue defect measuring 20×15 cm with an exposed comminuted fracture and a 17-cm tibial defect, along with a segmental fracture of the fibula. Subsequently, we reconstructed the tibial defect by transferring a 17-cm-long section of the ipsilateral fibula. We covered the soft tissue defect with a bipedicled skin flap. The patient eventually began to ambulate independently after surgery.


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