The fibula-flexor hallucis longus osteomuscular flap.
Limb salvage after loss of bone and soft tissue may require many operations to obtain soft-tissue cover and bony continuity. We describe a fibula-flexor hallucis longus osteomuscular flap which can provide both soft tissue and bone in a single stage. The flap is based on the peroneal vessels and is covered by a split-thickness skin graft. We report the results in five patients with an average bone defect of 8.3 cm and soft-tissue and skin loss. All regained a normal gait on the donor side; four had clinical and radiological union with excellent soft-tissue cover, but one required later amputation due to diffuse coagulopathy. The flap provides free vascularised bone with muscle cover. It has a dependable, long pedicle with minimal morbidity at the donor site, and allows monitoring of the vascularity of the fibular graft.
Duke Scholars
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Related Subject Headings
- Wounds, Gunshot
- Wound Healing
- Vascular Patency
- Tibial Fractures
- Tibia
- Thrombosis
- Surgical Wound Infection
- Surgical Flaps
- Skin Transplantation
- Radial Nerve
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Wounds, Gunshot
- Wound Healing
- Vascular Patency
- Tibial Fractures
- Tibia
- Thrombosis
- Surgical Wound Infection
- Surgical Flaps
- Skin Transplantation
- Radial Nerve