IV Observational cohort study. Retrospective review of prospectively collected outcome data.

The management of high-energy trauma to the foot often requires multiple tissues reconstructive procedures with various technical options. The authors report the case of a patient presenting an extensive defect of the medioplantar region of the right foot involving an almost complete (90%) medial cuneiform bone loss. A deferred operation with saphenous cross-leg flap and interposition of a cement spacer was first performed. Reconstruction of the bone defect with corticocancellous iliac bone graft was subsequently carried out at two months post-trauma. At four months follow-up, the bone and soft tissues healing were good. At 24 months follow-up, the patient could return to normal professional and sports activities. The saphenous cross-leg flap has proven to be a reliable reconstructive procedure. The use of the modified Masquelet technique ensured an anatomical reconstruction and a satisfying final functional outcome.

Experimental results showed reduced ROM of the instrumented spine regarding the intact one. Fusion rate and the occurrence of complication are similar to previous published data. The staple seems to provide a safe and effective new way to stabilize and secure a spacer with a short surgical time. A multicenter prospective clinical study, with more patients, is in progress to confirm these promising results.

No abstract

No abstract