Free Flap Transfer to Preserve Main Arterial Flow in Early Reconstruction of Open Fracture in the Lower Extremity

Figure 2

(a) Open fracture is located in the distal third of the lower extremity, accompanied by injury to the anterior tibial artery. (b) X-ray findings. The open fracture is accompanied by a bone defect. (c) The flow-through type anterolateral thigh flap harvested from the same side. (d) The anterior tibial artery is reconstructed by flow-through anastomosis with the lateral circumflex femoral artery. (e) Appearance at 18 months postoperatively. (f) X-ray findings at 18 months postoperatively, showing that union of the bone defect occurred after autologous bone grafting.

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