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Using a Free Vascularized Fibula Osteoseptocutaneous Flap for Intramedullary Fixation and Soft Tissue Coverage of a Combined Segmental Bone Defect of the Distal Tibia and Soft Tissue Defect

使用游離腓骨骨皮瓣作為骨髓內釘固定以同時重建遠端脛骨骨折骨骼與下肢皮膚之缺損

並列摘要


A 73-year-old man sustained a severe injury to his lower leg, causing a distaltibial bone defect and extensive soft tissue damage. The patient underwent acute conventional debridement and external fixation leaving a 7 cm bone lesion in the tibia and a soft tissue defect in the leg. The contralateral fibula was used to provide bridging vascularized intramedullary fixation and its skin paddle was used to cover the soft tissue defect. This case demonstrates that a free vascularized fibular osteoseptocutaneous flap can be used for simultaneous intramedullary fixation and soft tissue coverage.

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