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Repair of a lateral malleolus defect with a composite pedicled second metatarsal flap

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. Us...

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Autores principales: Chen, Huihao, Yin, Gang, Hou, Chunlin, Zhao, Liangyu, Lin, Haodong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300952/
https://www.ncbi.nlm.nih.gov/pubmed/30352530
http://dx.doi.org/10.1177/0300060518801461
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author Chen, Huihao
Yin, Gang
Hou, Chunlin
Zhao, Liangyu
Lin, Haodong
author_facet Chen, Huihao
Yin, Gang
Hou, Chunlin
Zhao, Liangyu
Lin, Haodong
author_sort Chen, Huihao
collection PubMed
description 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.
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spelling pubmed-63009522019-01-08 Repair of a lateral malleolus defect with a composite pedicled second metatarsal flap Chen, Huihao Yin, Gang Hou, Chunlin Zhao, Liangyu Lin, Haodong J Int Med Res Case Reports 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. SAGE Publications 2018-10-23 2018-12 /pmc/articles/PMC6300952/ /pubmed/30352530 http://dx.doi.org/10.1177/0300060518801461 Text en © The Author(s) 2018 http://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Reports
Chen, Huihao
Yin, Gang
Hou, Chunlin
Zhao, Liangyu
Lin, Haodong
Repair of a lateral malleolus defect with a composite pedicled second metatarsal flap
title Repair of a lateral malleolus defect with a composite pedicled second metatarsal flap
title_full Repair of a lateral malleolus defect with a composite pedicled second metatarsal flap
title_fullStr Repair of a lateral malleolus defect with a composite pedicled second metatarsal flap
title_full_unstemmed Repair of a lateral malleolus defect with a composite pedicled second metatarsal flap
title_short Repair of a lateral malleolus defect with a composite pedicled second metatarsal flap
title_sort repair of a lateral malleolus defect with a composite pedicled second metatarsal flap
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300952/
https://www.ncbi.nlm.nih.gov/pubmed/30352530
http://dx.doi.org/10.1177/0300060518801461
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