Open AccessThree cross leg flaps for lower leg reconstruction of Gustilo type III C open fracture
Author(s) -
Kazufumi Sano,
Satoru Ozeki,
Ichiro Sugimoto,
Masato Ogawa
Publication year - 2016
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.181784
Subject(s) - medicine , surgery , fibula , amputation , open fracture , external fixation , fixation (population genetics) , tibia , external fixator , orthopedic surgery , population , environmental health
A 60 year old male had Gustilo type III C open fracture of the right lower leg. After radical debridement, the large open defect including certain loss of the bone tissue was successfully augmented and covered, by consecutive three cross-leg flaps, which consisted of the free rectus abdominis musculocutaneous flap, the fibula osteocutaneous flap and the conventional sural flap. Although indication for amputation or preservation is decided with multiple factors in each case, a strategic combination of cross-leg flap, free flap, external fixation and vascular delay could increase the potential of preservation of the lower leg with even disastrous Gustilo type III C.