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Composite vascularised osteocutaneous fibula and sural nerve graft for
severe open tibial fracture—functional outcome at one year: A case
report
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AS Halim
Reconstructive Sciences Unit, School of Medical Science, Health Campus,
Universiti Sains Malaysia, Kelantan, Malaysia
I Yusof
Department of Orthopaedics, School of Medical Science, Health Campus,
Universiti Sains Malaysia, Kelantan, Malaysia
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Management of severe open tibial fracture
with neurovascular injury is difficult and controversial. Primary amputation
is an acceptable option as salvaging the injured, insensate, and ischaemic
limb may result in chronic osteomyelitis and non-functional limb. We report
a case of open tibial fracture associated with segmental bone and soft tissue
loss, posterior tibial nerve and artery injuries, which was further complicated
by chronic osteo-myelitis treated with composite vascularised osteocutaneous
fibula and sural nerve graft. Func-tional outcome of the injured limb at
one-year follow-up was satisfactory: the patient was capable of achieving
full weightbearing and was able to appreciate crude touch, pain, proprioception,
and temperature at the plantar aspect of the foot. There was no pressure
sore or ulceration.
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Journal
of Orthopaedic Surgery2004;12(1):110-113
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last
updated 30 June, 2004
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