Chinese Journal of Plastic Surgery 2011;27(2):95-97

Fibular head composite flap for bone and skin defect at medial malleolus in children: a report of 4 cases.

Yong LIU 1 ; Cheng-Jin ZHANG ; Xing-Mao FU ; Jian-Li WANG ; Cheng-Qi WANG

Affiliations

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Country

China

Language

Chinese

Abstract

OBJECTIVETo investigate the therapeutic effect of fibular head composite flap for bone and skin defect at medial malleolus in children.

METHODSFrom Aug. 2005 to Apr. 2009, 4 children cases (2 male, 2 female, from 3 to 11 year) with bone and skin defect at medial malleolus were reconstructed with fibular head composite flaps pedicled with lateral inferior genicular vascular bundle. The skin defect was 3- 6 cm x 8-10 cm in size.

RESULTSAll the 4 composite flaps survived completely. The patients were followed up for 4 months to 4 years with good bony healing. Both esthetic and functional results were satisfactory in ankle joint.

CONCLUSIONSThe fibular head composite tissue flap has a good therapeutic effect for bone and skin defect at medial malleolus in children.