Journal of Korean Foot and Ankle Society (대한족부족관절학회지)
- Volume 11 Issue 1
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- Pages.111-114
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- 2007
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
Treatment of Open Calcaneal Fracture with Massive Bone Loss using Femoral Head Allograft and Myocutaneous Free Flap (A Case Report)
종골 외측 1/2 이상의 결손을 동반한 개방성 골절의 동종 대퇴골두 이식과 유리 피판술을 이용한 치료 (1예 보고)
- Sung, Ki-Sun (Department of Orthopedic Surgery, Samsung medical center) ;
- Eun, Sang-Soo (Department of Orthopedic Surgery, Samsung medical center) ;
- Mun, Goo-Hyoun (Department of Plastic Surgery, Samsung medical center)
- 성기선 (성균관대학교 의과대학 삼성서울병원 정형외과학교실) ;
- 은상수 (성균관대학교 의과대학 삼성서울병원 정형외과학교실) ;
- 문구현 (성균관대학교 의과대학 삼성서울병원 성형외과학교실)
- Published : 2007.06.01
Abstract
Open calcaneal fracture with more than lateral half of bone loss and soft tissue defect occurred in 17 year-old male patient due to motor vehicle accident. Soft tissue defect included heel pad, peroneal tendon. Bone loss involved mainly most part of inferior tuberosity but not subtalar joint. Open dressing and debridement were done daily in operating room and antibiotics administration was started. After granulation tissue formed, femoral head allograft was performed and fixed with 6.0 mm screws to replace bone defect. Soft tissue defect was covered with latissimus dorsi musculocutaneous free flap. No sign of infection nor major osteolysis was observed in 15 months follow up period. Soft tissue defect was covered with latissimus dorsi musculocutaneous free flap.