Preserving the Knee in the Setting of High Segmental Tibial Bone and Massive Soft-Tissue Loss Using Vascularized Distal Tibial Bone Docking and a Foot Fillet Flap: A Case Report

Authors

Garyn T. Metoyer
Spencer Anderson, Wright State UniversityFollow
Brandon R. Horne, Wright State University - Main CampusFollow
Salim Mancho, Wright State UniversityFollow
Sunishka M. Wimalawansa, Wright State UniversityFollow

Document Type

Article

Publication Date

4-2020

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Abstract

Case: We discuss our reconstructive approach to avoid an above-knee amputation in a 33-year-old man presenting after lower extremity crush injury. We used a vascularized tibial bone flap and a foot fillet flap to restore length and joint functionality to the residual limb. The patient ambulates with good prosthetic fit on durable heel pad skin and 100° active knee motion.

Conclusion: This pairing of intramedullary nail with vascularized bone flap and fillet flap to address soft-tissue coverage and retain limb length is a useful tool in traumatic lower extremity injury management, providing an alternative technique for tibial bone graft stabilization with robust, sensate tissue coverage.

Repository Citation

Metoyer, G. T., Anderson, S., Horne, B., Mancho, S., & Wimalawansa, S. M. (2020). Preserving the Knee in the Setting of High Segmental Tibial Bone and Massive Soft-Tissue Loss Using Vascularized Distal Tibial Bone Docking and a Foot Fillet Flap: A Case Report. JBJS case connector, 10 (2), e0496.
https://corescholar.libraries.wright.edu/orthopaedics/68

DOI

10.2106/JBJS.CC.19.00496