The Fibula Osteoseptocutaneous Flap

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Three-step approach to the harvest of the fibula osteoseptocutaneous flap.

INTRODUCTION The ability to reliably include a skin paddle with the fibula osteoseptocutaneous (OSC) flap is crucial both from the perspective soft tissue reconstruction and flap monitoring. In this study, we describe a three-step approach to the harvest of the fibula OSC flap that is reliable and versatile. METHODS AND MATERIALS Step 1 starts by exploring the posterior crural septum from the...

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Use of the soleus musculocutaneous perforator for skin paddle salvage of the fibula osteoseptocutaneous flap: anatomical study and clinical confirmation.

BACKGROUND The skin paddle of the fibula osteoseptocutaneous flap is reliably vascularized by septocutaneous perforators from the peroneal artery. However, in 5 to 10 percent of lower limbs, these perforators are absent. This anatomical study evaluated use of the soleus musculocutaneous perforator for skin paddle salvage in such situations. METHODS Latex injection studies were performed on 20...

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Heel reconstruction with parallel fibular osteoseptocutaneous flap.

Reconstruction of heel defects can be challenging and requires careful consideration in restoring both the functional and aesthetic deficit. This study assessed the use of parallel fibular osteoseptocutaneous flap to repair composite heel defects. Follow-up of the 4 patients included in this study ranged from 24 months to 3 years after their operation. The flap survival rate was 100% in all pat...

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The fibula-flexor hallucis longus osteomuscular flap.

Limb salvage after loss of bone and soft tissue may require many operations to obtain soft-tissue cover and bony continuity. We describe a fibula-flexor hallucis longus osteomuscular flap which can provide both soft tissue and bone in a single stage. The flap is based on the peroneal vessels and is covered by a split-thickness skin graft. We report the results in five patients with an average b...

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Midface reconstruction with the fibula free flap.

OBJECTIVE To evaluate the use, indications, and outcomes of the fibula osteocutaneous free flap when reconstructing the midface. DESIGN Retrospective review of a case series. SETTING Tertiary referral center. PATIENTS We evaluated all patients requiring midface reconstruction after tumor resection between January 1, 1994, and January 1, 2000. Twenty-seven individuals who lacked sufficient...

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ژورنال

عنوان ژورنال: Plastic and Reconstructive Surgery

سال: 2020

ISSN: 0032-1052

DOI: 10.1097/prs.0000000000006250