Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al. |
A 68-year-old diabetic developed a nonhealing left instep ulcer that progressed to osteomyelitis.
FIG. 18-21. After thorough debridement, a large cavity with exposed bone remained.
CASE 5 The gracilis muscle was again used to close a chronic draining wound over the fourth metatarsal of a diabetic. FIG. 18-26. Appearance of ulcer.
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CASE 6 Industrial injury to the lateral anterior compartment of the right leg and foot produced partial loss of the extensor muscles. The gracilis was used as a dynamic transplant and also replaced the unstable scar on the lower third of the leg and lateral malleolar region. FIG. 18-29. The extent of the unstable scar and muscle defect.
CASE 7 A 16-year-old girl suffered a trigeminal and facial nerve injury during removal of a cerebellar tumor. |
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