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Free osteocutaneous scapular apophysis flap for reconstruction of the lateral malleolus
Authors:Faure P  Canovas F  Bonnel F  Teot L  Quatra F  Giovannini U M  Colonna M R
Affiliation:Department of Orthopedic Surgery and Burn and Plastic Surgery Center, Lapeyronie Hospital, Montpellier, France.
Abstract:Lateral malleolus avulsion is uncommon, and fusion of the syndesmosis of the ankle joint is usually performed in such cases. Others have reported successful reconstruction of the lateral malleolus with a vascularized fibular head. A case of reconstruction in a 17-year-old girl, with a free scapular apophysis flap, is presented and compared with alternative flaps available. The anatomy and development of the scapular crest with its cartilaginous apophysis are discussed.
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