Fibula-Hemisoleus Osteomusculocutaneous Free Flap for Foot Reconstruction

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Journal of the Korean Society for Surgery of the Hand 2001;10(1):34-37.
Published online May 31, 2001.

<p>Hye Young Mun, M.D., Tai Suk Roh, M.D., Hye Kyung Lee, M.D.*, Kwan-Chul Tark, M.D.</p>

비골-가자미근 유리피판술을 이용한 족부의 골 및 연부 조직 결손 재건

문혜영·노태석·이혜경*·탁관철

Abstract

  The injury on the dorsum of foot is usually manifested in the defect of bone and soft tissue, so its reconstruction requires composite tissue. Free flap satisfies this defect but its indication is determined by the defect size, recipient status and so on. Iliac crest bone and fibular bone are useful bone flap but in more than 8cm defect, fibular flap is more useful. The drawback of fibular free flap is the absence of soft-tissue coverage, so another local flap and myocutaneous flap must be added. Fibula-hemisoleus ostemusculocutaneous free flap has been used for the reconstruction of upper and lower extremity. Its advantages are one stage operation, one donor site and the flexibility of the reconstruction with the use of muscle, bone, and skin. This flap has never been reported for the reconstruction of dorsum of foot. In our case, 20-year-old woman was referred with the 17 cm defect of 1st metatarsal bone and 16×8 cm sized soft tissue loss on the dorsum of the right foot. We reconstructed successfully the dorsum of foot with fibula-hemisoleus osteomusculocutaneous free flap and the patient can walk without crutches after 6 monthes.

Key Words: Fibula-hemisoleus osteomusculocutaneous free flap, Reconstruction of foot

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