Reconstruction of the Midfoot Area with Vascularized Chimeric Osteocutaneous Scapula Flap: A Case Report

Jun Arata, MD, PhD; Itaru Tsuge, MD, PhD; Masanori Kumakiri, MD; Teruyo Yamashita, MD; Shuko Kaito, MD; Yoon Yong, MD; Shigeru Yamada, MD, PhD

doi:10.1097/GOX.0000000000003361

Plastic and Reconstructive Surgery, Global Open (Mar 2021)

Reconstruction of the Midfoot Area with Vascularized Chimeric Osteocutaneous Scapula Flap: A Case Report

Jun Arata, MD, PhD,
Itaru Tsuge, MD, PhD,
Masanori Kumakiri, MD,
Teruyo Yamashita, MD,
Shuko Kaito, MD,
Yoon Yong, MD,
Shigeru Yamada, MD, PhD

Affiliations

Jun Arata, MD, PhD: From the * Department of Plastic and Reconstructive Surgery, National Hospital Organization Kyoto Medical Center, Japan;
Itaru Tsuge, MD, PhD: † Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan;
Masanori Kumakiri, MD: From the * Department of Plastic and Reconstructive Surgery, National Hospital Organization Kyoto Medical Center, Japan;
Teruyo Yamashita, MD: From the * Department of Plastic and Reconstructive Surgery, National Hospital Organization Kyoto Medical Center, Japan;
Shuko Kaito, MD: From the * Department of Plastic and Reconstructive Surgery, National Hospital Organization Kyoto Medical Center, Japan;
Yoon Yong, MD: From the * Department of Plastic and Reconstructive Surgery, National Hospital Organization Kyoto Medical Center, Japan;
Shigeru Yamada, MD, PhD: ‡ Department of Orthopedic Surgery, National Hospital Organization Kyoto Medical Center, Japan.

DOI: https://doi.org/10.1097/GOX.0000000000003361
Journal volume & issue: Vol. 9, no. 3
p. e3361

Abstract

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Summary:. We report a case of reconstruction of a left midfoot defect with a chimeric partial scapula and skin flap in a 20-year-old man. After radical debridement, bone and soft tissue defects were reconstructed with a chimeric scapula and skin flap. The postoperative course was uneventful. The patient could walk well without support, and bone union was achieved 6 months after surgery. In 14 months of follow-up, no clinical complications (including new ulcer or stress fracture) were noted and full ambulation was achieved, with the patient returning to his previous work. We suggest that the chimeric scapula and skin flap may be a useful alternative option for midfoot reconstruction.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

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