Severe vascular complications after derotational osteotomy of the tibia salvaged with free functional latissimus dorsi muscle transfer. A case report
T. de Jong,
N. van Alfen,
R.J. van Heerwaarden,
E.T. Walbeehm,
T.H.J. Nijhuis
Affiliations
T. de Jong
Radboud Peripheral Nerve Centre, Department of Plastic and Reconstructive Surgery, Radboud university medical center, Nijmegen, the Netherlands; Corresponding author at: Department of Plastic and Reconstructive Surgery, Radboud University Medical Center, 6500 HB, Nijmegen, the Netherlands.
N. van Alfen
Department of Neurology and Clinical Neurophysiology, Donders Center for Neuroscience, Radboud university medical center, Nijmegen, the Netherlands
R.J. van Heerwaarden
Centre for Deformity Correction and Joint Preserving Surgery, ViaSana Clinic, Mill, the Netherlands
E.T. Walbeehm
Department of Plastic, Reconstructive and Hand Surgery, HAGA Hospital, Den Hague and Zoetermeer and Xpert Clinics, the Netherlands
T.H.J. Nijhuis
Radboud Peripheral Nerve Centre, Department of Plastic and Reconstructive Surgery, Radboud university medical center, Nijmegen, the Netherlands
We present a case study of a 26-year-old male who sustained severe vascular and neurogenic injury during derotational osteotomy of the tibia. Directly postoperatively he complained of a drop foot, but 3 days later presented with an ischemic compartment syndrome of the anterior and lateral compartments. After debridement the osteotomy and metalware were exposed and the patient had a drop foot. Here we report how we salvaged his lower limb with a free functional latissimus dorsi muscle transfer that reconstructed soft tissues and restored ankle dorsiflexion.
