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KMID : 0603120130220020057
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Journal of the Korean Microsurgical Society
2013 Volume.22 No. 2 p.57 ~ p.62
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Reconstruction of Large Bone and Soft Tissue Defect Combined with Infection in the Lower Extremity with Free Flap Followed by Ipsilateral Vascularized Fibular Transposition
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Chung Duke-Whan
Han Chung-Soo
Lee Jae-Hoon
Kim Eun-Yeol
Park Kwang-Hee
Kim Dong-Kyoon
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Abstract
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Purpose: The aim of this study is to report on the results and discuss the role of free flapfollowed by ipsilateral vascularized fibular transposition (IVFT) for reconstruction oflarge bone and soft tissue defect combined with infection by open tibia fracture.
Materials and Methods: During the research period, lasting from December 2002to June 2008 (Kyung Hee University Medical Center), data were collected from threepatients who underwent IVFT after free flap. We analyzed the successiveness andpersistency of the infection using free flapping, bone union, and hypertrophy betweentransposed fibula and tibia.
Results: Regarding free flap, successive results were observed in all examples. In thefinal follow-up results, transposed fibulas all survived, having hypertrophy similar to thatof adjacent tibia.
Conclusion: Reconstruction of tibia defect with free flap followed by IVTF is a usefuland safe method for avoidance of the potential risk of infection for patients with a largetibial bone defect and soft tissue defect associated with infection.
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KEYWORD
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Bone and soft tissue defect, Free flaps, Ipsilateral vascularized fibular transposition
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