Covering exposed plate with gracilis

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26 year old Iraqi male suffered fracture talus neck , he was seen by orthopedic surgeon who advised surgery. Surgeon exposed talus with fibular osteotomy , after fixing talus surgeon plated fibula.
Wound breakdown occurred at the fibular osteotomy site exposing plate. Usually removal of plate is recommended but in this case that was not feasible.
So decision to do muscle flap was taken , muscle flaps are good options in covering hardware.
Gracilis muscle flap  was done ,flap was connected to anterior tibial vessels, skin graft were placed. Patient made uneventful recovery ,muscle took one month to cover up.


Dr Adhishwar Sharma
MB,BS,MS Gen Surgery,PGIMER Chd
Mch Plastic Surgery
Fellowship in microvascular surgery
 8860650846 adhishwar7@gmail.com
brahmanandclinic.com








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