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Foot reconstruction using vascularised fibula

N Rajacic1, M K Ebrahim, S Grgurinovic

  • 1Department of Surgery, Mubarak Al-Kabeer University Hospital, Kuwait.

British Journal of Plastic Surgery
|June 1, 1993
PubMed
Summary
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Vascularised fibula flaps effectively reconstructed severe skin-bone foot defects in three trauma patients. The fibula

Area of Science:

  • Orthopedic surgery
  • Microsurgery
  • Reconstructive surgery

Background:

  • Severe foot trauma can result in significant skin-bone defects.
  • Reconstruction of these defects is challenging, requiring bone and soft tissue restoration.
  • The fibula is a potential donor site for reconstructive bone and soft tissue grafting.

Observation:

  • Three patients with severe foot trauma and skin-bone defects were treated.
  • The fibula was chosen due to its anatomical similarity to metatarsal bones.
  • Vascularised fibula flaps, combined with skin transfers, were utilized for reconstruction.

Findings:

  • The vascularised fibula served as an ideal graft for replacing first metatarsal bone defects.
  • Tailored combinations of fibula-skin transfers were employed based on the extent of soft tissue loss.

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  • Successful reconstruction of complex foot defects was achieved.

    • Implications:

    • Vascularised fibula transfer is a viable option for treating severe foot skin-bone defects.
    • This technique offers a solution for restoring both bone and soft tissue integrity in the foot.
    • Further research can explore long-term outcomes and optimal flap designs for foot reconstruction.