000 02650nam a22003617a 4500
008 200902s20202020 xxu||||| |||| 00| 0 eng d
022 _a2169-7574
024 _a10.1097/GOX.0000000000002959 [doi]
024 _aPMC7413756 [pmc]
040 _aOvid MEDLINE(R)
099 _a32802653
245 _aComposite Cutaneous Anterolateral Thigh Flap with Rolled Fascia Lata for Tibialis Anterior Tendon Reconstruction.
251 _aPlastic and Reconstructive Surgery - Global Open. 8(7):e2959, 2020 Jul.
252 _aPlast. reconstr. surg., Glob. open. 8(7):e2959, 2020 Jul.
253 _aPlastic and reconstructive surgery. Global open
260 _c2020
260 _fFY2021
265 _sepublish
266 _d2020-09-02
520 _aConclusions: The use of this donor site offers a novel, advantageous option for TAT repair. It should be considered for patients with large defects that make other repair methods unfeasible. Copyright (c) 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
520 _aMethods: We present a unique case of traumatic TAT rupture with a failed primary closure yielding a large (>15 cm) defect. The patient presented with a defect spanning the entire anterior compartment of the leg, limiting options for coverage and functional restoration.
520 _aResults: The patient's large, chronic defect was successfully repaired via a composite cutaneous anterolateral thigh and a rolled fascia lata free flap. The patient had robust return to function and is able to dorsiflex and invert the foot and ambulate.
520 _aRupture of the tibialis anterior tendon (TAT) is a rare phenomenon with limited therapeutic options derived from sparse case reports. Without proper anchoring of the tibialis anterior, dorsiflexion and inversion of the foot become impaired, disrupting patient's gait. Reported techniques for repair fall into nonoperative (ankle-foot orthosis) or operative (primary closure, tendon transfer, free gracilis) modalities, depending on patient factors, mechanism of injury, and extent of defect. In this report, we outline a novel method of tendon repair and soft tissue coverage for a large defect.
546 _aEnglish
650 _aIN PROCESS -- NOT YET INDEXED
651 _aMedStar Washington Hospital Center
656 _aSurgery/Plastic Surgery
657 _aJournal Article
700 _aFan, Kenneth L
790 _aBekeny JC, Evans KK, Fan KL, Zolper EG
856 _uhttps://dx.doi.org/10.1097/GOX.0000000000002959
_zhttps://dx.doi.org/10.1097/GOX.0000000000002959
942 _cART
_dArticle
999 _c5476
_d5476