Reconstruction of Traumatic Composite Tissue Defect of Medial Longitudinal Arch With Free Osteocutaneous Fibular Graft

Unal M. B., ŞEKER A., Demiralp B., ŞAHİN M., Cift H. T., Oltulu I.

Journal of Foot and Ankle Surgery, vol.55, no.2, pp.333-337, 2016 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 55 Issue: 2
  • Publication Date: 2016
  • Doi Number: 10.1053/j.jfas.2014.09.050
  • Journal Name: Journal of Foot and Ankle Surgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.333-337
  • Keywords: creeping substitution, crush injury, fibula, first metatarsal, free flap, open fracture, trauma
  • Istanbul Medipol University Affiliated: Yes


A 34-year-old male sustained a crush injury resulting in bone and soft tissue loss along the medial longitudinal arch of his left foot. Specifically, the injury resulted in loss of first metatarsal without injury to the medial cuneiform or proximal phalanx, fracture of the third metatarsal, and a 5-cm × 9-cm soft tissue defect overlying the dorsomedial aspect of the right foot. After debridement and daily wound care, the defect was subsequently reconstructed using a free osteocutaneous fibular graft. Approximately 6 months after reconstructive surgery, the patient returned to his job without pain, and his pedogram showed almost equal weightbearing distribution on both feet.