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CC BY-NC 4.0 · Arch Plast Surg 2021; 48(03): 329-332
DOI: 10.5999/aps.2020.01200
Extremity/Lymphedema
Case Report

Extensive calcific myonecrosis of the lower leg treated with free tissue transfer

Tae Gon Kim 
Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea
,
Yong Sakong 
Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea
,
Il Kug Kim 
Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea
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Calcific myonecrosis is a rare condition in which hypoperfusion due to compartment syndrome causes soft tissue and muscle to become calcified. As calcific myonecrosis gradually deteriorates, secretions steadily accumulate inside the affected area, forming a cavity that is vulnerable to infection. Most such cases progress to chronic wounds that are unlikely to heal spontaneously. After removing the calcified tissue, the wound can be treated by primary closure, flap coverage, or a skin graft. In this case, a 72-year-old man had extensive calcific myonecrosis on his left lower leg, and experienced swelling and increasing tenderness. After removing the muscle calcification, we combined two anterolateral thigh free flaps, which were harvested from the patient’s right and left thigh, respectively, to reconstruct the wound with a dead-space filler and skin-defect cover at the same time. The patient recovered without revision surgery or major complications.

Keywords

Calcific myonecrosis - Compartment syndrome - Trauma - Lower limb - Free flap


Publication History

Received: 25 June 2020

Accepted: 23 September 2020

Article published online:
21 March 2022

© 2021. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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