A 17-year-old male sustained an open fracture of the right medial malleolus (MM) with significant bone and soft tissue loss following a motor-vehicle accident. Following serial wound debridement, his ankle was effectively reconstructed with MM antiglide plate stabilization, iliac autogenous bone graft, and a free radial forearm soft tissue flap.
Open MM fracture with bone and soft tissue loss is rare. It is feasible to treat this injury with a novel surgical reconstruction technique involving autogenous bicortical iliac bone graft and radial forearm free flap.
1Department of Orthopaedic Surgery, Hospital Tengku Ampuan Afzan, Pahang, Malaysia
2Department of Surgery, International Islamic University Malaysia, Pahang, Malaysia
E-mail address for R.Y. Kow: email@example.com
Investigation performed at the Hospital Tengku Ampuan Afzan, Pahang, Malaysia
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A810).