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Related Experiment Video

Updated: May 9, 2026

Engineered Vascularized Muscle Flap
08:18

Engineered Vascularized Muscle Flap

Published on: January 11, 2016

Bone propeller flap: a staged procedure.

Mathias Tremp1, René D Largo1, Olivier Borens2

  • 1Department of Plastic, Reconstructive Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|July 24, 2013
PubMed
Summary
This summary is machine-generated.

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See all related articles

This study presents a novel bone-implemented propeller flap technique for complex lower limb reconstruction. This innovative approach successfully restored function in a patient with severe ankle and distal tibia defects.

Area of Science:

  • Orthopedic Surgery
  • Microsurgery
  • Tissue Engineering

Background:

  • Complex lower limb defects often require reconstructive surgery to restore function.
  • Osteomyelitis following open ankle fractures presents a significant reconstructive challenge.
  • Traditional methods may not adequately address combined soft tissue and bony deficits.

Observation:

  • A patient with a grade IIIB open ankle dislocation developed severe osteomyelitis requiring extensive debridement.
  • A substantial soft tissue and bony defect was present over the distal tibia, fibula, and talus.
  • A modified propeller flap technique, incorporating the spare part concept, was employed in a two-stage procedure.

Findings:

  • A prefabricated and vascularized "double-barrel" fibular graft was utilized.
Keywords:
Masqueletfree flaplatissimus dorsi flapstaged reconstruction

Related Experiment Videos

Last Updated: May 9, 2026

Engineered Vascularized Muscle Flap
08:18

Engineered Vascularized Muscle Flap

Published on: January 11, 2016

  • Postoperative radiographs at 17 months demonstrated bony union and complete soft tissue coverage.
  • The patient achieved full weightbearing capacity, indicating successful functional restoration.

    • Implications:

    • This study suggests the adaptability of the propeller flap concept for bony reconstruction.
    • The "spare part" concept can be effectively integrated with vascularized bone grafts for complex defects.
    • This technique offers a promising alternative for managing challenging lower limb injuries.