• J Plast Reconstr Aesthet Surg · Feb 2013

    Case Reports

    Reconstruction of metatarsal bone defects with a free fibular osteomyocutaneous flap incorporating soleus muscle.

    • Yutaro Yamashita, Ichiro Hashimoto, Keiichi Goishi, Yutaka Fukunaga, Yoshiro Abe, and Hideki Nakanishi.
    • Department of Plastic and Reconstructive Surgery, The University of Tokushima Graduate School, Kuramoto-cho, Tokushima, Japan.
    • J Plast Reconstr Aesthet Surg. 2013 Feb 1; 66 (2): 277-80.

    AbstractSevere traumatic bone and soft-tissue defects are often treated by lower leg amputation. The amputation level becomes a very important factor with respect to the patient's basic daily activities. We report the case of a 51-year-old man who was referred to us with severe traumatic metatarsal bone and dorsum pedis skin and soft-tissue defects. To avoid amputation, a free fibular osteomyocutaneous flap incorporating the soleus muscle was used to reconstruct the second and third metatarsal bones and the soft-tissue defect, respectively. Now, 2 years after the procedure, the patient is able to walk independently. To the best of our knowledge, this is the first report of use of such a composite transfer for a complex midfoot defect.Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

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