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    Peroneal Artery-based Propeller Flap to Cover the Medial Distal Tibia in the Absence of the Posterior Tibial Artery.

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    Author
    Kish, Alexander J
    Pensy, Raymond A
    Date
    2019-10-30
    Journal
    Plastic and Reconstructive Surgery. Global Open
    Publisher
    Wolters Kluwer Health
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1097/GOX.0000000000002354
    Abstract
    A healthy 28-year-old woman restrained driver presented to the trauma unit post-MVC with significant vehicular intrusion. Examination demonstrated a 15-cm transverse wound over the medial malleolus and anterior ankle with exposed muscle, tendon, and bone without gross contamination. Her physical examination was otherwise unremarkable. Distal to the wound, there was no Doppler signal in either dorsalis pedis or posterior tibial arteries and the foot appeared cold with delayed cap refill. She was taken to the operating room urgently for debridement and irrigation, open reduction internal fixation of both distal tibia and fibular fractures, and supplemental external fixation application. The foot regained a normal color and capillary refill upon reduction, and biphasic Doppler signals returned. Copyright © 2019 The Authors.
    Rights/Terms
    Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/17973
    ae974a485f413a2113503eed53cd6c53
    10.1097/GOX.0000000000002354
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