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CASE REPORT
Year : 2016  |  Volume : 50  |  Issue : 3  |  Page : 331-334

Three cross leg flaps for lower leg reconstruction of Gustilo type III C open fracture


Department of Orthopaedic Surgery, Dokkyo Medical University, Koshigaya Hospital, Tochigi, Japan

Correspondence Address:
Kazufumi Sano
Department of Orthopaedic Surgery, Dokkyo University, Koshigaya Hospital, 2-1-50 Minami-Koshigaya, Koshigaya, Saitama 343-8555
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.181784

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A 60 year old male had Gustilo type III C open fracture of the right lower leg. After radical debridement, the large open defect including certain loss of the bone tissue was successfully augmented and covered, by consecutive three cross-leg flaps, which consisted of the free rectus abdominis musculocutaneous flap, the fibula osteocutaneous flap and the conventional sural flap. Although indication for amputation or preservation is decided with multiple factors in each case, a strategic combination of cross-leg flap, free flap, external fixation and vascular delay could increase the potential of preservation of the lower leg with even disastrous Gustilo type III C.


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