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Single Tau-Shaped Anterolateral Thigh Free Flap on Bimalleolar Defect Acquired by Osteomyelitis in Lower Extremity Trauma: A Case Report

Authors
 Seung Jun Lee  ;  Won Jae Lee  ;  Young Chul Suh 
Citation
 Journal of Wound Management and Research, Vol.20(2) : 162-167, 2024-06 
Journal Title
Journal of Wound Management and Research
ISSN
 2586-0402 
Issue Date
2024-06
Keywords
Ankle ; Osteomyelitis ; Free tissue flaps ; Case reports
Abstract
Soft tissue defects can cause serious issues in traumatic lower extremity injuries when limb salvage is the goal, especially when complicated by osteomyelitis. The distal lower extremities lack redundant soft tissue, necessitating free tissue transfer for complex injury reconstruction. For bimalleolar defects, a chimeric or double flap is an option, but harvesting such flaps can be challenging, and multiple arterial anastomoses risks distal limb ischemia. We present a case of a large bimalleolar defect with associated osteomyelitis covered with a single anterolateral thigh (ALT) free flap. Preoperative mapping identified perforator distribution allowing design of a single tau-shaped flap from the left thigh to minimize morbidity. The defects were covered successfully with no permanent complications. Given the ALT flap’s consistent anatomy, this case could guide future approaches for typical bimalleolar defects, including those with osteomyelitis.
Files in This Item:
T992024450.pdf Download
DOI
10.22467/jwmr.2024.02880
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Suh, Young Chul(서영철)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/202126
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