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Preserving the Knee in the Setting of High Segmental Tibial Bone and Massive Soft Tissue Loss using Vascularized Distal Tibial Bone Docking and a Foot Fillet Flap: A Case Report
Garyn Metoyer
Sunishka Wimalawansa, MD
Spencer Anderson, MD
Salim Mancho, DO
Brandon Horne, MD
Wright State Boonshoft School of Medicine
2020-02-03
Presenter: Garyn Metoyer
Affidavit:
I attest that student Garyn Metoyer made a considerable contribution to the literature review and write up for the proposed abstract under the guidance of the authors listed.
Director Name: Ron M. Johnson
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: General Reconstruction
Case:
We discuss our reconstructive approach to avoid an above-knee amputation in a 33-year-old male presenting after lower extremity crush injury. We used a vascularized tibial bone flap and a foot fillet flap to restore length and joint functionality to the residual limb. The patient ambulates with good prosthetic fit on durable heel-pad skin and 100º active knee motion.
Conclusion:
This pairing of intramedullary nail with vascularized bone flap and fillet flap to address soft tissue coverage and retain limb length is a useful tool in traumatic lower extremity injury management; providing an alternative technique for tibial bone graft stabilization with robust, sensate tissue coverage.
