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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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
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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