Abstract
Lower extremity blast injuries represent a unique challenge to surgeons and often
involve complex, limb-threatening wounds with extensive soft tissue and bone loss.
Surgical treatment of these injuries can be difficult because of limited autogenous
resources for reconstruction of the defect. In this article, we describe a technique
for medial column reconstruction using iliac crest bone graft and soft tissue coverage
with an abductor hallucis rotational flap combined with a split-thickness skin graft.
This method addresses the extensive bone and soft tissue defects that frequently characterize
blast injuries to the foot, and may be applicable in other situations where trauma
or infection has caused extensive destruction of the medial column.
Keywords
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References
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- Management of complex open fracture injuries of the midfoot with external fixation.J Foot Ankle Surg. 2006; 45: 308-315
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- Open midfoot blast trauma treated with ring external fixation: case report.Foot Ankle Int. 2009; 30: 262-267
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Article info
Publication history
Published online: March 29, 2010
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
