• 1 Department of Orthopaedic Surgery, Hospital Tengku Ampuan Afzan, Pahang, Malaysia
  • 2 Department of Surgery, International Islamic University Malaysia, Pahang, Malaysia
JBJS Case Connect, 2019 6 25;9(2):e0163.
PMID: 31233428 DOI: 10.2106/JBJS.CC.18.00163


CASE: A 17-year-old male sustained an open fracture of the right medial malleolus (MM) with significant bone and soft tissue loss following a motor-vehicle accident. Following serial wound debridement, his ankle was effectively reconstructed with MM antiglide plate stabilization, iliac autogenous bone graft, and a free radial forearm soft tissue flap.

CONCLUSIONS: Open MM fracture with bone and soft tissue loss is rare. It is feasible to treat this injury with a novel surgical reconstruction technique involving autogenous bicortical iliac bone graft and radial forearm free flap.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.