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The fibula-flexor hallucis longus osteomuscular flap.

Publication ,  Journal Article
Ruch, DS; Koman, LA
Published in: J Bone Joint Surg Br
November 1997

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

Published In

J Bone Joint Surg Br

DOI

ISSN

0301-620X

Publication Date

November 1997

Volume

79

Issue

6

Start / End Page

964 / 968

Location

England

Related Subject Headings

  • Wounds, Gunshot
  • Wound Healing
  • Vascular Patency
  • Tibial Fractures
  • Tibia
  • Thrombosis
  • Surgical Wound Infection
  • Surgical Flaps
  • Skin Transplantation
  • Radial Nerve
 

Citation

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ICMJE
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Ruch, D. S., & Koman, L. A. (1997). The fibula-flexor hallucis longus osteomuscular flap. J Bone Joint Surg Br, 79(6), 964–968. https://doi.org/10.1302/0301-620x.79b6.7556
Ruch, D. S., and L. A. Koman. “The fibula-flexor hallucis longus osteomuscular flap.J Bone Joint Surg Br 79, no. 6 (November 1997): 964–68. https://doi.org/10.1302/0301-620x.79b6.7556.
Ruch DS, Koman LA. The fibula-flexor hallucis longus osteomuscular flap. J Bone Joint Surg Br. 1997 Nov;79(6):964–8.
Ruch, D. S., and L. A. Koman. “The fibula-flexor hallucis longus osteomuscular flap.J Bone Joint Surg Br, vol. 79, no. 6, Nov. 1997, pp. 964–68. Pubmed, doi:10.1302/0301-620x.79b6.7556.
Ruch DS, Koman LA. The fibula-flexor hallucis longus osteomuscular flap. J Bone Joint Surg Br. 1997 Nov;79(6):964–968.

Published In

J Bone Joint Surg Br

DOI

ISSN

0301-620X

Publication Date

November 1997

Volume

79

Issue

6

Start / End Page

964 / 968

Location

England

Related Subject Headings

  • Wounds, Gunshot
  • Wound Healing
  • Vascular Patency
  • Tibial Fractures
  • Tibia
  • Thrombosis
  • Surgical Wound Infection
  • Surgical Flaps
  • Skin Transplantation
  • Radial Nerve