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Journal of Pediatric Orthopaedics B:
doi: 10.1097/BPB.0b013e328348da0d
Leg and Foot

Reconstruction and anticipatory Langenskiöld procedure in traumatic defect of tibial medial malleolus with type 6 physeal fracture

Abbo, Oliviera; Accadbled, Franka; Laffosse, Jean-Michelb; De Gauzy, Jérome Salesa

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Abstract

Traumatic osteoarticular or ligament defect of the tibial medial malleolus is a rare entity in children. Associated lesions may include soft tissue and joint defect, subsequent instability of the ankle, and growth arrest. We report here, the case of an 11-year-old boy, a victim of a severe trauma to the ankle, managed by an original technique. It combined a reconstruction by a composite iliac crest and gluteal fascia graft, an anticipatory Langenskiold procedure, and a serratus anterior muscle flap. This original technique proved to be a suitable alternative in this type of trauma.

© 2012 Lippincott Williams & Wilkins, Inc.

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