Anatomical Variation of Position and Location of the Fibula Nutrient Foramen in Adult Kenyans

Ogeng’o, Julius A; Bundi, PK; Obimbo, Moses M.; Ongeti, Kevin

doi:10.4314/eaoj.v1i1.49452

Cited by 5 publications

(7 citation statements)

References 5 publications

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“…One reason behind this could be congenital absence of a nutrient artery and the other can be if the nutrient vessel is smaller than 0.5 mm. 15 In the present study, the mean length of fibula was 34.56 cm and the foraminal index was 34.7% with FI ranging between 26.6 to 62.5 %. The results are close to the findings of Ambekar and Sukre 13 and also coincides with the findings of the study done by Kalyanasundaram et al 16 Vinay et al found that among the South Indians the mean fibular length was 32.58 cm.…”

Section: Discussionsupporting

confidence: 45%

Study of the Anatomical Variations in the Nutrient Foramina of Fibula

Majid

Ali

Ejaz

et al. 2020

APMC

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Section: Discussionsupporting

confidence: 45%

Study of the Anatomical Variations in the Nutrient Foramina of Fibula

Majid

Ali

Ejaz

et al. 2020

APMC

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“…The nutrient artery should be preserved in the bone grafting to promote fracture healing [7]. The bone transplant procedures require a statistical data on position of nutrient foramen specific to that population which can help the surgeons to select the osseous section levels of the receptor in order to preserve the nutrient artery [8].…”

Section: Introductionmentioning

confidence: 99%

Variation in the Number and Position of Nutrient Foramina of Long Bones of Lower Limb in North Indians

Seema¹,

Verma²,

Mahajan³

et al. 2015

IJAR

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The major blood supply of the long bones is through the nutrient arterywhich enter through the nutrient foramina leadinginto an oblique nutrient canal. The presence, number, position and distances from the various prominent landmarks on the bone have medical as well as surgical significance. The present study was done on the long bones of North Indians to know the mean values of the number, position of nutrient foramina and distance from various landmarks on the bones and ultimately to compare with other populations. Materials and Methods: The present study consists of 180 long bones of lower limb (60 femora, 60 tibiae, 60 fibulae) which were taken from Department of Anatomy, Sri Guru Ram Das Institute of Medical Sciences and Research, Vallah (Amritsar), India and studied carefully for the number, position and distance of nutrient foramina in relation to length and from the proximal epiphysis of the long bones. Also the anteroposterior and lateromedial diameter of the bone at the level of nutrient foramen were studied. Main outcome measure: Variations in number, position and distance in relation to length and from proximal epiphysis of long bones was seen. Results: The nutrient foramen of femur was located on the linea aspera in 76.50% of cases(39% in interstice 9.5% on the lateral lip and 28.00% on the medial lip of the linea aspera), 18.50 %on the medial surface and 5%.on the lateral surface. Nutrient foramen of tibia was located in 95.50% of cases under the soleal line at the average distance of 119.8 mm from intercondylar eminence to the nutrient foramen, on the soleal line in 4%and on the lateral border in 0.50% of cases. Nutrient foramen of fibula was found on the posterior surface in 65 % of cases, in 15% on the medial surface, on the interosseous border in 10% ,on the lateral surface in 7% and on the posterior border in 3% of cases. Conclusion: This study will provide the ethnic data for comparison among various populations. It is also helpful in various surgical procedures and in interpretation of radiological images.

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“…Fibula bone is supplied by both the nutrient artery and the periosteal blood supply. Cadaveric studies have shown that most (85–100%) people have a single nutrient artery supplying the fibula . Foraminal index (FI) is calculated by the distance between proximal end of the bone and nutrient foramen divided by total bone length.…”

Section: Discussionmentioning

confidence: 99%

“…Findings of seven cadaveric studies including nearly 1000 cadavers showed that nutrient foramen was found in the upper and middle segments most of the time. In most studies, FI did not exceed 70% indicating that nutrient foramen is rarely located in the distal third (Table ) …”

Section: Discussionmentioning

confidence: 99%

Is distal fibular fracture an absolute contraindication to free fibular flap harvesting? Areview of evidence in the literature and illustration by a successful case

et al. 2014

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Despite the advantages of a fibula flap, many surgeons would often be hesitant in its use in patients with a history of distal fibular fracture. The chief concern is the potential vascular damage sustained during the injury. From our experience, however, we noticed that the blood supply of various components of a fibula flap rarely relies on its distal part alone. Avoiding the use of this flap may unnecessarily forgo the optimal reconstructive option in many patients. Free fibula flap was harvested from a 41-year-old man who had a history of left fibula fracture 10 years before surgery. The fracture was treated with open reduction with internal fixation. The plate was removed 1 year after the trauma surgery. We used this fractured and healed fibula to reconstruct the intraoral and mandibular defect after tumor extirpation. The harvesting process was straight-forward and the flap survived uneventfully. On the basis of our experience and current evidence in the literature, we believe that a history of previous fibular fracture should not be considered as an absolute contraindication for free fibular flap harvesting. With a good knowledge of the lower limb anatomy and appropriate patient selection, the fibular flap can still be a safe option that incurs no additional risk.

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Anatomical Variation of Position and Location of the Fibula Nutrient Foramen in Adult Kenyans

Abstract: Background:The fibula though transmits insignificant force in walking, is an important bone for muscle attachment and significant source of bone grafts.

Cited by 5 publications

References 5 publications

Study of the Anatomical Variations in the Nutrient Foramina of Fibula

Study of the Anatomical Variations in the Nutrient Foramina of Fibula

Variation in the Number and Position of Nutrient Foramina of Long Bones of Lower Limb in North Indians

Is distal fibular fracture an absolute contraindication to free fibular flap harvesting? Areview of evidence in the literature and illustration by a successful case

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