Management of infected orthopedic fibular plate

The pictures show the management of a 53-year-old patient with a chronic draining sinus three years following open reduction and internal fixation for a fibular fracture (A). After debridement and removal of the previously placed fibular plate, a local flap based proximally off of peroneal perforators was rotated in to cover the exposed bone. A skin graft was placed to provide coverage of the residual exposed subcutaneous tissue (B). The appearance of the healed wounds is shown (C).