Evaluation of fibula free flap donor site morbidity

Garrett, Alan; Ducic, Yadranko; Athre, Raghu S.; Motley, Travis A.; Carpenter, Brian

doi:10.1016/j.amjoto.2005.07.003

Cited by 54 publications

(47 citation statements)

References 15 publications

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“…Studies show that preserving at least 5-6 cm of distal fibula is essential for maintaining ankle mortise stability [7,8,42]. In our study we preserved more than 7 cm of distal and proximal segments of fibula.…”

Section: Discussionmentioning

confidence: 83%

Evaluation of Non-vascular Fibula Graft for Mandibular Reconstruction

Devireddy

Murugan

Kumar

et al. 2014

J. Maxillofac. Oral Surg.

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Section: Discussionmentioning

confidence: 83%

Evaluation of Non-vascular Fibula Graft for Mandibular Reconstruction

Devireddy

Murugan

Kumar

et al. 2014

J. Maxillofac. Oral Surg.

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“…Common complications of FVFG are mechanical failure (range, 23%-24%) [2,26], delayed union (range 5%-23%) [15,31,41], thrombosis (1%) [2], infection (10%) [43], or associated complications at the donor site (range, 8%-20%) [14]. A combination of massive allograft and FVFG seems to decrease the early postoperative fracture rate [15,35].…”

Section: Discussionmentioning

confidence: 99%

Case Reports: Lengthening of a Vascularized Free Fibular Graft

Courvoisier

Sailhan

Mary

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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Wide bone resection is sometimes necessary for bone tumors, and reconstruction is a major challenge. Vascularized fibular graft is one alternative but may result in progressive limb-length discrepancy (LLD) in children with substantial growth left. Progressive distraction lengthening with an external fixator is now a standard procedure to generally correct LLD. However, lengthening of free vascularized fibular grafts for lower limb reconstruction has not been reported frequently and then only in small series or case reports. We report our experience with three patients with lengthening after tibial reconstruction with a free vascularized fibular graft and review the literature.

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“…Donor site morbidity and complications following the harvesting of bone from the iliac crest and the fibula have been well documented [6][7][8][9][10][11][12][13][14]. However, the nature and frequency of complications following the harvesting of bone from the tibia in children is less clear.…”

Section: Introductionmentioning

confidence: 99%

Donor site morbidity following the harvesting of cortical bone graft from the tibia in children

Dodabassappa

Shah

Joseph

2010

Journal of Children's Orthopaedics

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Introduction Since the nature of complications following the harvesting of bone from the tibia in children is not well documented in the literature, we undertook this study in order to determine the frequency and nature of donor site complications following the harvesting of large cortical strut grafts from the tibial diaphysis in children. Materials and methods During the past 19 years, tibial cortical grafts were harvested from 47 children on 77 separate occasions, mainly for the treatment of congenital pseudarthrosis of the tibia. The technique of graft harvesting was identical in every case. Case records of these 47 children were reviewed. Forty of these children were reviewed at a mean period of 5.5 years.Results No immediate post-operative complications were noted and, at follow-up, apart from mild bowing of the anterior cortex of the tibia, no deformities were encountered. The tibial cortex reformed completely and this facilitated repeat graft harvesting when required. The only major complication was a stress fracture of the tibia in one boy. Conclusion Harvesting cortical bone graft from the tibia is simple and is fraught with negligible morbidity.

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Evaluation of fibula free flap donor site morbidity

Cited by 54 publications

References 15 publications

Evaluation of Non-vascular Fibula Graft for Mandibular Reconstruction

Evaluation of Non-vascular Fibula Graft for Mandibular Reconstruction

Case Reports: Lengthening of a Vascularized Free Fibular Graft

Donor site morbidity following the harvesting of cortical bone graft from the tibia in children

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