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...

We report a variant of tibial hemimelia in a six-year-old boy that did not comply with recognised classification systems. The femur and knee were normal, but the fibula was displaced proximally and there was severe diastasis of the proximal and distal tibiofibular joints to the extent that a grossly deformed foot articulated with the fibula and there was separate soft-tissue cover for the dista...

OBJECTIVE To evaluate our experience with reconstruction of anterior and lateral through-and-through defects of the oral cavity using the fibula osteocutaneous flap. STUDY DESIGN Case series with chart review. METHODS Review of patients undergoing reconstruction of through-and-through oral cavity defects between August 2006 and July 2008. Defect size, complications, and need for additional ...

for DDGS relative to MSP were 84.3% and 85.3% for fibula breaking load and fibula bone ash, respectively. The basal diet + 500 FTU/kg phytase resulted in greater fibula breaking load (18.7 vs 13.7 kg force) and bone ash (1.049 vs 0.896 g) as compared with the basal diet, resulting in calculated P release of 0.082 and 0.064%, respectively. The 0.225% P DDGS + 500 FTU/kg phytase also resulted in ...

background:  fractures of the distal third of the tibia are mostly associated with a fibular fracture that often requires fixation. the preferred treatment of distal tibial fracture is the minimally invasive percutaneous plate osteosynthesis  (mippo) procedure. however, there are no clear cut guidelines on fixation of the fibular fracture and currently most orthopedic surgeons use a plate osteo...

Fibula flap is widely used in reconstruction work, whereas the low extremity blood supply alteration was unclear. This study would observe the blood oxygen saturation change of foot after harvesting fibula flap. The regional tissue oxygen saturation (rSO2) of the lateral side and inner side of feet was measured using near-infrared spectroscopy oxygen monitoring system (NIRS) before operation an...