Atlas of Reconstructive Surgery: A Case-Based Approach

Complex Foot Reconstruction

Clinical Presentation A 35-year-old White male sustained an accidental gunshot wound (GSW) to his left foot. The GSW (12 × 6 × 4 cm) was through-and-through to the medial aspect of the left midfoot with significant soft tissue loss. He also had a…

Foot Reconstruction

Case 1 Clinical Presentation A 54-year-old White male had a long history of complex congenital deformity of his right foot. He had several previous orthopedic procedures but unfortunately the hardware became infected. He underwent hardware removal by the orthopedic foot…

Heel Reconstruction

Case 1 Clinical Presentation A 36-year-old White male developed a wound dehiscence following an open reduction and internal fixation of his calcaneus fracture by the orthopedic foot and ankle service ( Fig. 50.1 ). He had sustained a right foot calcaneus…

Complex Ankle Reconstruction

Case 1 Clinical Presentation A 28-year-old White male had a complex left foot open fracture wound as a result of a motor vehicle accident. He suffered an avulsion injury of the left medial ankle with underlying comminuted fractures. There was…

Ankle Reconstruction

Case 1 Clinical Presentation A 68-year-old Asian male sustained left ankle open fracture and dislocation as a result of a motorcycle collision. He had a complex open wound over the medial malleolus with an exposed flexor digitorum longus tendon. He…

Complex Leg Reconstruction

Case 1 Clinical Presentation A 21-year-old White male had an extensive middle tibia wound of his right leg associated with an open fracture as a result of a motor vehicle accident. He had a 13 × 6 cm middle tibia wound of…

Leg Reconstruction: Distal Third (Free Flaps)

Case 1 Clinical Presentation A 54-year-old White male unfortunately developed a wound dehiscence in the left distal third of his leg after an open reduction and internal fixation for a distal tibial fracture. The distal tibial wound measured 12 × 6 cm…

Leg Reconstruction: Middle Third

Case 1 Clinical Presentation A 40-year-old White male sustained chronic osteomyelitis secondary to an open middle tibial fracture 1 year ago from a motor vehicle accident. He had a longstanding smoking history. He had chronic drainage from the old fracture…

Leg Reconstruction: Proximal Third

Case 1 Clinical Presentation An 11-year-old White male sustained a significant crush and avulsion injury to his right upper leg as a result of a motor vehicle accident. He had extensive full-thickness skin loss over the proximal third of his…