Back to Search
Start Over
Repair of a lateral malleolus defect with a composite pedicled second metatarsal flap
- Source :
- The Journal of International Medical Research, Journal of International Medical Research, Vol 46 (2018)
- Publication Year :
- 2018
- Publisher :
- SAGE Publications, 2018.
-
Abstract
- The patient was a 26-year-old man who fell while riding a motorcycle and friction led to defects in the lateral malleolus and soft tissue of the ankle. Although the wound surface healed with scarring and skin grafting, the patient had symptoms of ankle joint instability 4 months after the injury. Using a second metatarsal composite tissue flap with a dorsalis pedis artery pedicle, we repaired the soft tissue defect of the ankle and reconstructed the lateral malleolus. The head of the metatarsal bone was used to reconstruct the lateral malleolus and the flap was used to cover the wound surface. The distal fibula and metatarsus were completely healed 36 months postoperatively. The ankle had maintained stability at this time, with equal limb length and only a mild limitation of dorsal flexion in the ankle joint. The patient could walk, jog, and walk up and down stairs without limitations. There was no pain or limitation in activity at the donor site. Our findings suggest that the second metatarsal composite tissue flap with a dorsalis pedis artery pedicle is an effective option in reconstruction of the adult distal fibula.
- Subjects :
- Adult
Male
Medicine (General)
medicine.medical_specialty
reconstruction
dorsalis pedis artery pedicle
Wound surface
Case Reports
030230 surgery
Lateral malleolus
Biochemistry
Surgical Flaps
03 medical and health sciences
R5-920
0302 clinical medicine
distal fibula
Medicine
ankle joint
Humans
Metatarsal Bones
030222 orthopedics
business.industry
Biochemistry (medical)
Soft tissue
Cell Biology
General Medicine
Skin Transplantation
Plastic Surgery Procedures
Surgery
medicine.anatomical_structure
Fibula
Distal fibula
Wounds and Injuries
Ankle
business
human activities
second metatarsal flap
Subjects
Details
- Language :
- English
- ISSN :
- 14732300 and 03000605
- Volume :
- 46
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- The Journal of International Medical Research
- Accession number :
- edsair.doi.dedup.....828a673e736d64c6cbdfa15d9db4c24b