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J Pediatr Surg. 2012 Sep;47(9):E13-7. doi: 10.1016/j.jpedsurg.2012.03.084.

Two different flaps for reconstruction of gunshot wounds to the foot and ankle in a child.

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  • 1Orthopedic Department, the General Hospital of Jinan Military Command, Jinan 250031, China.


An 8-year-old boy was shot in his right foot and ankle, which resulted in soft tissue lesions of the medial malleolus and lateral calcaneus, fracture of the medial malleolus, and partial loss of the calcaneus. We designed a distally based sural flap and a posterior tibial perforator flap for reconstruction of soft tissue defects at the lateral aspect of the calcaneus and the medial malleolus, respectively. Both flaps survived successfully, and the boy had a normal gait during follow-up.

Copyright © 2012 Elsevier Inc. All rights reserved.

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