Reconstruction of a complex defect on the foot with an osteotendofasciocutaneous lateral arm free flap

Abstract

A one-stage reconstruction of a complex defect of the dorsum of the foot was undertaken with an osteotendofasciocutaneous lateral arm free flap in a 21 year old man. A vascularised strip of the triceps tendon with the adjacent part of the olecranon was used to reconstruct a missing tibialis anterior tendon with the insertion into the medial cuneiform bone. Recovery was uneventful and he was discharged from hospital after two weeks.

Verrucous Carcinoma of the Skin: Long-Term Follow-up Results Following Surgical Therapy

“…If only a small area of a bone is affected, resection of that part of the bone does not absolutely mean loss of function of the extremity. Furthermore, free microvascular flaps can be used to reconstruct defects of the foot, including bone and tendon 19,20 . This may also apply to very selected cases after resection of verrucous carcinomas.…”

“…Furthermore, free microvascular flaps can be used to reconstruct defects of the foot, including bone and tendon. 19,20 This may also apply to very selected cases after resection of verrucous carcinomas.…”

Free osteocutaneous lateral arm flap: Anatomy and clinical applications

“…10À13 With exception of Teoh et al, 13 the authors recommended including a cuff of surrounding musculature to guarantee vascular supply to the humeral bone through vessels from the muscle fascia to the periosteum. 10À12 Other works show an osteotendocutaneous flap including a small part of the olecranon connected to the triceps tendon to reconstruct the tibialis anterior tendon 14 or the Achilles tendon 15 in combined defects. As far as the interesting anatomical work of Gosain et al 5 is concerned, a direct vascular supply to the bone over the tendon is only guaranteed by taking at least one perforator with a cuff of brachial triceps muscle along with the flap.…”