September 16, 2025

Early internal fixation combined with free anterolateral thigh perforator flap transplantation to treat open ankle fracture-dislocation.

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Discussion

Retrospective analysis shows improved healing in open ankle fractures, suggesting effective recovery options.

All 13 patients achieved complete flap survival and fracture union within 5.5 months.
At last follow-up, the average AOFAS score was 78.6, with 76.9% of patients having excellent or good outcomes.
Emergency debridement and internal fixation combined with flap transplantation were implemented within hours of injury.
No complications related to internal fixation occurred, indicating a safe treatment approach.

Hu et al. (2025) studied this question.

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