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Free osteocutaneous flap from a rib to the tibia.
Plastic and Reconstructive Surgery
|June 1, 1977
Summary
A free osteocutaneous flap successfully repaired a large tibia bone defect. This innovative surgical technique utilized rib, muscle, and skin, revascularized via microvascular anastomoses.
Area of Science:
- Orthopedic Surgery
- Microsurgery
- Tissue Engineering
Background:
- Large bone defects in the tibia pose significant reconstruction challenges.
- Unstable scar tissue compromises coverage and healing of tibial defects.
- Free tissue transfer is a reconstructive option for complex limb injuries.
Observation:
- A 10 cm segment of the ninth rib with overlying muscle and skin was harvested.
- The harvested flap was transferred to cover a large bony defect of the tibia.
- Microvascular anastomoses were established between the intercostal vessels and anterior tibial vessels.
Findings:
- Successful repair of the large tibia bony defect was achieved.
- The osteocutaneous flap provided robust coverage and bony stock.
- The microvascular reconstruction ensured viability of the transferred tissue.
Implications:
- This technique offers a viable solution for reconstructing extensive tibia defects.
- Free osteocutaneous flaps are effective for restoring bone and soft tissue integrity.
- Microsurgical expertise is crucial for successful free flap reconstructions in orthopedic trauma.