Article

Resection interposition arthroplasty of calcaneonavicular coalition using a lateral supramalleolar adipofascial flap: case report.

aDepartment of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka bDepartment of Orthopaedic Surgery, Seirei Hamamatsu Hospital, Shizuoka, Japan.
Journal of pediatric orthopaedics. Part B / European Paediatric Orthopaedic Society, Pediatric Orthopaedic Society of North America (impact factor: 0.66). 04/2012; DOI:10.1097/BPB.0b013e328353a1c1
Source: PubMed

ABSTRACT Space after the resection of calcaneonavicular coalition has been interposed by fat graft or the extensor digitorum brevis muscle. Nonvascularity of fat graft and insufficient volume of the extensor digitorum brevis muscle cause regrowth of the coalition. A pedicled lateral supramalleolar adipofascial flap was interposed into the space created by resection of the calcaneonavicular bar in the case of a 10-year-old boy. Regrowth of the coalition was successfully prevented by sufficient volume of the vascularized fatty tissue. The range of motion of the affected right ankle joint was similar to that of the unaffected side at 32 months postoperatively.

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Keywords

10-year-old boy
 
32 months postoperatively
 
ankle joint
 
extensor digitorum brevis muscle
 
extensor digitorum brevis muscle cause regrowth
 
fat graft
 
pedicled lateral supramalleolar adipofascial flap
 
Regrowth
 
resection
 
unaffected side
 
vascularized fatty tissue
 

Mitsuhiro Okada