Three cross leg flaps for lower leg reconstruction of Gustilo type III C open fracture.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 27293297.
- Also identified by DOI 10.4103/0019-5413.181784 and PMC identifier 4885305.
- Licence recorded as CC BY-NC-SA.
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Abstract
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.