• Annals of plastic surgery · Mar 1988

    Case Reports

    Fasciocutaneous flap closure of a grade III lower third tibial fracture: an alternative to free flap coverage.

    • M W Marks and J C Butler.
    • Section of Plastic and Reconstructive Surgery, University of Michigan Medical Center, Ann Arbor.
    • Ann Plast Surg. 1988 Mar 1; 20 (3): 261-5.

    AbstractWe present a patient who sustained a close-range shotgun wound resulting in a grade III fracture of the lower tibia. The wound was debrided on several occasions and, on day 4, was closed with a flexor digitorum muscle and pedicled fasciocutaneous flap. Grades III and IV lower one-third tibial fractures generally require a free flap to accomplish stable soft-tissue coverage. Free-tissue transfer, however, remains a tedious and lengthy procedure. Occasionally a fasciocutaneous flap may be available to facilitate wound closure and spare the patient a lengthy procedure and distant donor site. The established principles of compound tibial coverage must be adhered to when choosing a local fasciocutaneous flap.

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