Objective: This study was done to evaluate the changes in vascularised free fibula graft for mandible reconstruction with respect to height of fibula graft and bony union at the ends of graft and osteotomy sites. Methods: A follow up study was conduted with 5 cases of mandibular resection due to aggressive benign tumor and reconstruction with vascularised free fibula flap. Changes in bone heigh...

Osteochondromas arising from the interosseous border of the distal tibia and involving distal fibula are uncommon. We present a 16 year old young boy with an impending fracture, erosion and weakness of the distal fibula, secondary to an osteochondroma arising from the distal tibia. Early excision of this deforming distal tibial osteochondroma avoided the future risk of pathological fracture of ...

The paper presents unilinear and mutiunilinear regression formulae for the reconstruction of stature from percutaneous lengths of tibia and fibula of Scheduled Caste males and females of Haryana State of India. The study is based on a crosssectional sample of 202 individuals (101 males and 101 females) aged 18 to 21 years. Left and right radial subcutaneous lengths of tibia and fibula of each s...

Address for Correspondence: Dr. Agrawal Nidhi, Demonstrator, Department of Anatomy, NSCB Medical College, Jabalpur, India. E-Mail: [email protected] Background: The external opening of the nutrient canal, usually referred to as the nutrient foramen has a particular position in each bone. An understanding of the position and number of the nutrient foramina in fibula is important, as thi...

The development of the avian fibula was studied both histologically and experimentally. It was found that from the onset of chondrogenesis, the fibula possessed a smaller diameter than the neighbouring tibia. The truncated growth of the fibula was a result of the loss of its distal epiphysis between stages 27-31. This epiphysis subsequently became fused to the tibia and formed the fibulare of t...

Free fibula transfer can be associated with a slow and tedious dissection/harvest due to difficulty in visualizing the deeper structures. The purpose of this article is to review the first author's (Y.D.) experience with a novel technique for expedited harvest of fibula free flaps for mandibular reconstruction. A retrospective chart review was performed using the first author's clinical practic...

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...

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...