BACKGROUND AND PURPOSE Complications related to the fibula during distraction osteogenesis could cause malalignment. Most published studies have analyzed only migration of the fibula during lengthening, with few studies examining the effects of fibular complications. PATIENTS AND METHODS We retrospectively reviewed 120 segments (in 60 patients) between 2002 and 2009. All patients underwent bi...

BACKGROUND The fibula free flap is a reliable method for reconstructing composite head and neck defects. However, its skin paddle has drawbacks, including its thickness, hair-bearing surface, desquamation, difficulty insetting it into maxillary defects, and the potential need for skin-grafting the donor site. The fibula osteo-adipofascial flap (FOAFF) is a modification of the fibula flap that o...

BACKGROUND Reconstruction of craniofacial defects becomes complex when dental implants are included for functional rehabilitation. We describe a fully 3-dimensional (3D) digitally planned reconstruction of a mandible and immediate prosthetic loading with a fibula graft in a 2-step surgical approach. METHODS A 54-year-old man had development of osteoradionecrosis of the mandible. The resection...

BACKGROUND The purpose of this study was to address questions concerning the functional outcome following mandibular reconstruction with vascularized fibula flap in skeletally immature children METHODS Eleven patients 14 years old or younger who underwent mandibular reconstruction using a free fibula flap were evaluated. RESULTS The mean follow-up was 3.4 years. One flap loss occurred and r...

the present article describes a case of prosthetic rehabilitation with the new technique of prefabricated osteo-cutaneous free fibula flap for reconstructing a maxillary defect which had resulted from ameloblastoma. the fibula and a cuff of 6-8 mm were prepared with its pedicle intact. the bone flap was left in place with its pedicle intact for 2 to 3 months; the skin graft and the flap were fr...

OBJECTIVE To evaluate the reliability of vascularized fibula transfer in maintaining arthrodesis following wide excision of malignant tumors located at the metaphyseal ends of long bones. METHODS Fourteen patients underwent wide extra-articular excisions followed by arthrodesis with vascularized fibula and its variants at the Department of Orthopedic Surgery and Traumatology, University of Ha...

Giant Cell Tumour (GCT) of the distal fibula is extremely rare and poses challenges in the surgical management. Wide excision or intralesional curettage, along with adjuvant chemical cauterisation can prevent the recurrence of GCT. The excised bone gap needs reconstruction using tricortical iliac autograft and supportive plate fixation. In addition to wide excision, preservation of ankle mortis...

Stress fractures of the fibula commonly occur distally in runners, whereas stress fractures of the proximal fibula are uncommon and typically occur in jumpers. Furthermore, it is rare for a stress fracture to be repeated in the same bone. We report a case of a repeated stress fracture of the proximal fibula in a male runner with abnormal gait that primarily involved excessive pronation. Unusual...

Involvement of the distal part of the fibula by benign aggressive and malignant tumors remains to be a challenge for the treating surgeon. Such lesions require resection that consequently results in ankle instability [1]. Due to rarity of the condition reconstruction techniques vary, with variable results. The fibula is affected in 2.4% of primary bone tumors, [2] with the proximal third being ...

When one is surgically managing an unstable ankle fracture, anatomic reduction of the syndesmosis is typically accomplished using an open surgical approach. We propose an arthroscopically assisted technique that restores normal anatomy while using a percutaneously placed intramedullary nail to fix the fibula. The patient is positioned supine, and the ankle is placed under traction by use of a t...