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Functional lower limb salvage with an osteocutaneous filet flap of the foot
S J Hegstad1, A A Smith, B M Patterson
1Department of Orthopaedic Surgery, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Annals of Plastic Surgery
|April 1, 1996
Abstract:
An osteocutaneous foot filet flap based on the posterior tibial vessels was successfully used to provide tibial coverage in a patient requiring a below-knee amputation following a high-voltage electrical injury. Addition of the calcaneus to the standard foot filet flap provided a vascularized bone graft that served to both lengthen the tibia and secure the flap via a tibial-calcaneal synostosis. The synostosis provided firm anchoring of the flap and allowed for a partial end-bearing, below-knee prosthesis.