Cross-leg flap after postraumatic osteomyelitis defect: A last resource for limb salvage Case Report. Open Acess, volume 2

• Author(s): Campos Pereira, Eva ; Diniz, Sara ; Rodrigues, Filipe ; Pereira, Alexandre ; Sousa, Ricardo
• Date: 2021
• Persistent ID: http://hdl.handle.net/10400.26/38129
• Origin: Serviço de Saúde da Região Autónoma da Madeira, E.P.E.
• Subject(s): Osteomyelitis; Soft tissue defect; Muscle flap; Cross-leg flap; Madeira Island; Portugal; Região Autónoma da Madeira
• Document Type: Journal article
• Language: English
• Contributor(s): Repositório Comum

Description

We report the case of a patient with a tibial shaft fracture occurring through a chronic posttraumatic osteomyelitis site with significant soft tissue defect. The bone and soft tissue reconstruction procedures are described with a cross-leg fasciocutaneous flap performed as a last resource after previous rotated muscle flap partial failure. Pre-operative CT angiography, to rule outaxial vessel damage and peripherical vessel diseases, and adequate stabilization of both legs are key for a successful limb salvage.