Reconstruction of Massive Midfoot Bone and Soft Tissue Loss as a Result of Blast Injury

Rahul Banerjee, Brian Waterman, James Nelson

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Lower extremity blast injuries represent a unique challenge to surgeons and often involve complex, limb-threatening wounds with extensive soft tissue and bone loss. Surgical treatment of these injuries can be difficult because of limited autogenous resources for reconstruction of the defect. In this article, we describe a technique for medial column reconstruction using iliac crest bone graft and soft tissue coverage with an abductor hallucis rotational flap combined with a split-thickness skin graft. This method addresses the extensive bone and soft tissue defects that frequently characterize blast injuries to the foot, and may be applicable in other situations where trauma or infection has caused extensive destruction of the medial column.

Original languageEnglish (US)
Pages (from-to)301-304
Number of pages4
JournalJournal of Foot and Ankle Surgery
Volume49
Issue number3
DOIs
StatePublished - Jun 1 2010

Keywords

  • abductor hallucis
  • bone graft
  • explosive device
  • muscle flap
  • surgery
  • trauma

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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