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J Reconstr Microsurg Open 2016; 01(01): 039-041
DOI: 10.1055/s-0035-1570537
Letter to the Editor: Short Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Composite Compound Free Flaps for Lateral Malleolar Reconstruction

Bruno Battiston
1   U.O.C Musculoskeletal Traumatology, U.O.D. Microsurgery, C.T.O. Hospital, Torino, Italy
,
Pierfrancesco Pugliese
1   U.O.C Musculoskeletal Traumatology, U.O.D. Microsurgery, C.T.O. Hospital, Torino, Italy
,
Stefano Artiaco
1   U.O.C Musculoskeletal Traumatology, U.O.D. Microsurgery, C.T.O. Hospital, Torino, Italy
,
Davide Ciclamini
1   U.O.C Musculoskeletal Traumatology, U.O.D. Microsurgery, C.T.O. Hospital, Torino, Italy
,
Michele Cillino
1   U.O.C Musculoskeletal Traumatology, U.O.D. Microsurgery, C.T.O. Hospital, Torino, Italy
,
Pierluigi Tos
1   U.O.C Musculoskeletal Traumatology, U.O.D. Microsurgery, C.T.O. Hospital, Torino, Italy
› Author Affiliations
Further Information

Publication History

22 June 2015

27 September 2015

Publication Date:
17 March 2016 (online)

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Shortening or absence of the distal fibula may cause a clinically valgus hindfoot owing to the talar abduction and lateral rotation.[1] [2] A displacement of 1 mm or 30-degree lateral rotation could alter the load distribution and lead to an abnormal articular stress causing subsequent arthritis.[3] [4] [5]

In case of loss of both bone and soft tissue, a reconstructive treatment is mandatory in order to restore skin coverage and a functional ankle with long-term stability.

We present two results of a one-stage reconstruction of the complex lateral malleolus traumatic defect with two different microsurgical composite compound flaps.

 

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