Severe vascular complications after derotational osteotomy of the tibia salvaged with free functional latissimus dorsi muscle transfer. A case report

We present a case study of a 26-year-old male who sustained severe vascular and neurogenic injury during derotational osteotomy of the tibia. Directly postoperatively he complained of a drop foot, but 3 days later presented with an ischemic compartment syndrome of the anterior and lateral compartmen...

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Bibliographic Details
Published inJPRAS open Vol. 42; pp. 208 - 212
Main Authors de Jong, T., van Alfen, N., van Heerwaarden, R.J., Walbeehm, E.T., Nijhuis, T.H.J.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ltd 01.12.2024
Elsevier
Subjects
Case Report
Foot drop
Free functional muscle transfers
Latissimus dorsi muscle
Neurotization
Neurotization
Foot drop
Free functional muscle transfers
Latissimus dorsi muscle
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Summary:We present a case study of a 26-year-old male who sustained severe vascular and neurogenic injury during derotational osteotomy of the tibia. Directly postoperatively he complained of a drop foot, but 3 days later presented with an ischemic compartment syndrome of the anterior and lateral compartments. After debridement the osteotomy and metalware were exposed and the patient had a drop foot. Here we report how we salvaged his lower limb with a free functional latissimus dorsi muscle transfer that reconstructed soft tissues and restored ankle dorsiflexion.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:2352-5878
2352-5878
DOI:10.1016/j.jpra.2024.09.010