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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

Journal of Pediatric Orthopaedics B: September 2012 - Volume 21 - Issue 5 - p 434–438
doi: 10.1097/BPB.0b013e328348da0d

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.

aService d’Orthopédie Traumatologie, Hôpital des Enfants de Toulouse

bService d’Orthopédie Traumatologie, Hôpital Rangueil, Toulouse, France

Correspondence to Olivier Abbo, JD, Service d’Orthopédie Traumatologie. Hôpital des Enfants de Toulouse 330 avenue de Grande Bretagne, Cedex 9, 31059, Toulouse, France Tel: +335 34 5 58544; fax: +335 34 5 58532; e-mail:

© 2012 Lippincott Williams & Wilkins, Inc.