Reconstruction of an Extensive Tibial Defect Using a Free Latissimus Dorsi Flap and Masquelet Technique

Abstract

We report the use of a free flap with the Masquelet technique to cover a soft tissue and bone defect of the leg. A 52-year-old man was injured in a motorcycle accident. He was diagnosed with open fracture of the left leg. The wound was debrided and the free-floating bone fragments were removed. There was a large soft tissue defect and tibial defect of 9 cm in length. A free latissimus dorsi flap was used to cover the open wound. The bone defect was treated using the Masquelet technique. There were no signs of postoperative infection and bone union was achieved. After 1 year and 3 months, the patient was able to walk with a cane. His left knee range of motion was 140 degrees for flexion and 0 degrees for extension. The use of a free latissimus dorsi flap with the Masquelet technique was effective for treating a large bone and soft tissue defect.