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

T de Jong, N van Alfen, R J van Heerwaarden, E T Walbeehm, T H J Nijhuis

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Article in JPRAS open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

T de JongRadboud Peripheral Nerve Centre, Department of Plastic and Reconstructive Surgery, Radboud university medical center, Nijmegen, the Netherlands.

N van AlfenDepartment of Neurology and Clinical Neurophysiology, Donders Center for Neuroscience, Radboud university medical center, Nijmegen, the Netherlands.

R J van HeerwaardenCentre for Deformity Correction and Joint Preserving Surgery, ViaSana Clinic, Mill, the Netherlands.

E T WalbeehmDepartment of Plastic, Reconstructive and Hand Surgery, HAGA Hospital, Den Hague and Zoetermeer and Xpert Clinics, the Netherlands.

T H J NijhuisRadboud Peripheral Nerve Centre, Department of Plastic and Reconstructive Surgery, Radboud university medical center, Nijmegen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Foot dropFree functional muscle transfersLatissimus dorsi muscleNeurotization

Identifiers

PMID39398274

DOI10.1016/j.jpra.2024.09.010

PMCPMC11470784

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