The fibula-flexor hallucis longus osteomuscular flap.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Ruch, DS; Koman, LA

Published Date

  • November 1997

Published In

Volume / Issue

  • 79 / 6

Start / End Page

  • 964 - 968

PubMed ID

  • 9393913

International Standard Serial Number (ISSN)

  • 0301-620X

Digital Object Identifier (DOI)

  • 10.1302/0301-620x.79b6.7556


  • eng

Conference Location

  • England