• Injury · Dec 2020

    Case Reports

    Complex bone and soft tissues defect reconstruction with a chimeric flap: Latissimus dorsi, serratus anterior and ribs: Case report.

    • Zamfirescu Dragos, Tanase Dan, Radulescu Sorin, Lupescu Olivera, and Stoian Alexandru.
    • Plastic Surgery Department, Zetta Clinic, Bucharest, Romania.
    • Injury. 2020 Dec 1; 51 Suppl 4: S4-S8.

    AbstractTreatment of tibial defects with important soft tissue involvement after bilateral lower limb trauma are challenging for both orthopedic and plastic surgeons. Several therapeutic options are described in armamentarium of reconstructive surgeons such as bone grafts, bone substitutes, distractions osteogenesis, limb prosthesis, free flaps, negative pressure therapy and unfortunately amputation. We describe a patient with tibial and soft tissue defect reconstructed using a chimeric flap composed of latissimus dorsi, serratus anterior muscle and two ribs. At the 1-year follow-up the patient is able to walk with a walker and is still enrolled in rehabilitation program.Copyright © 2020 Elsevier Ltd. All rights reserved.

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