Reconstruction of midfoot bone and soft tissue loss with chimeric partial scapula and latissimus dorsi muscle flap and short perforator-based skin flap following gunshot injuries: Report of two cases

Akcal A. O., Unal K., Gorgulu T., AKCAL M. A., BİGAT Z.

MICROSURGERY, cilt.36, sa.7, ss.598-603, 2016 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 36 Sayı: 7
  • Basım Tarihi: 2016
  • Doi Numarası: 10.1002/micr.30099
  • Dergi Adı: MICROSURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.598-603
  • Anahtar Kelimeler: chimeric flap, scapulae bone, mid foot, LOWER-EXTREMITY, FOOT, FRACTURES, RESECTION, DEFECTS, GRAFTS, ARTERY
  • Akdeniz Üniversitesi Adresli: Evet

Özet

IntroductionIn this report we present two cases of gunshot injury related midfoot defects, reconstructed with a chimeric partial scapula and latissimus dorsi muscle flap and short perforator-based skin flap. The first case, a 14 years old male, had 10 x 8 cm medial plantar and 6 x 4 cm dorsal foot defects and the second case, a 55 years old female, had only 8 x 6 cm dorsal foot defect. In both cases the defects were associated with fractures, one with lateral cuneiform and cuboid with 90% bone loss and the other with navicular bone, respectively. After 6 months, the patients could walk well without support, and radiographs confirmed bony union. A chimeric partial scapula and latissimus dorsi muscle flap and short perforator-based skin flap may be used for the reconstruction of combined bony and soft tissue defects of the midfoot and to promote bone healing. (c) 2016 Wiley Periodicals, Inc. Microsurgery 36:598-603, 2016.