Use of a vascularised free fibula flap has been a popular method of osseous reconstruction because of its adequate length and acceptance of dental implants. In this article we describe a case of maxillary reconstruction in which virtual planning techniques and rapid prototyping were used to insert a microvascular osteomyocutaneous fibula graft, Medpor implant, and immediate dental implants.

BACKGROUND Child abuse is a serious threat to the physical and psychosocial well-being of the pediatric population. Musculoskeletal injuries are common manifestations of child abuse. There have been multiple studies that have attempted to identify the factors associated with, and the specific injury patterns seen with musculoskeletal trauma from child abuse, yet there have been no large studies...

Ewing's Sarcoma of the calcaneus has been infrequently reported in literature. Metastases to the adjoining tibia and fibula have been reported even more rarely. We report a patient who, at the time of presentation, showed gross destruction of the calcaneus and metastases to the ipsilateral tibia and fibula.

BACKGROUND Screws placed in the distal fibula may not have satisfactory purchase during internal fixation of an osteoporotic ankle fracture. Tibia-pro-fibula screws that extend from the fibula into the distal tibial metaphysis provide additional purchase. The purpose of this study was to investigate if purchase of these screws can be enhanced further by injecting calcium sulfate and calcium pho...

This study was carried out to evaluate the long-term effect on the donor side of the foot and ankle following vascularized fibular graft resection in children. Eight patients underwent resection of the fibula for the purpose of a vascularized fibular graft by a surgical team who practiced leaving at least 6 cm residual distal fibula. The age of these children at the time of surgery was between ...

BACKGROUND Children and adolescents are at high risk of sustaining fractures during growth. Therefore, epidemiological assessment is crucial for fracture prevention. The AO Comprehensive Injury Automatic Classifier (AO COIAC) was used to evaluate epidemiological data of pediatric long bone fractures in a large cohort. METHODS Data from children and adolescents with long bone fractures sustain...

The purpose of this paper is to describe experience with four children who presented with bowing or pseudarthrosis of the fibula. These children demonstrate a gradation in the severity and significance of this condition. There may be : 1) fibular bowing without fibular pseudarthrosis (Case 1); 2) fibular pseudarthrosis without ankle deformity (Case 2); 3) fibular pseudarthrosis with ankle defor...

In this study we examined the lower limb fracture in children and classified the healing time using supervised and unsupervised artificial neural network (ANN). Radiographs of long bones from 2009 to 2011 of lower limb fractures involving the femur, tibia and fibula from children ages 0 to 13 years, with ages recorded from the date and time of initial injury was obtained from the pediatric orth...

BACKGROUND CONTEXT The fibula is a source of bone graft for reconstruction of the appendicular and axial skeleton. PURPOSE The aim of this study is to determine donor-site complications and morbidity in a large series of patients who underwent autogenous fibula harvesting for anterior cervical corpectomy and fusion (ACCF) surgery. STUDY DESIGN/SETTING Retrospective review (Level III). PAT...