Complex foot injuries are usually the result of high-energy trauma, and characterized by open fractures or comminution of the tarsometatarsal complex, compromise of soft tissues and skin defects. The free fibular osteocutaneous flap is widely used to repair these defects because of its accessibility, composition of cortical bone and well-vascularized skin.1 Recently, possible complications have been documented, including pain, reduced muscle strength, claw toe, ankle instability, limited range of motion (ROM) of the ankle, contracture of the flexor hallucis longus muscle, and tibial stress fracture.
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