Ankle Instability of the Donor Site Following Removal of Vascularized Fibula Bone Graft

Ankle Instability After Vascularized Fibular Harvest for Tumor Reconstruction

“…1 Recent studies have reported ankle instability in children. 25,26,[34][35][36] In our series, it was found that harvested donor fibular lengths were not significantly different between adults and children. The length of the residual fibula was, however, significantly longer in adults as compared with children (P < .048).…”

“…More recently, other studies have been conducted to attempt to quantify the risk of developing ankle instability at the donor site after a vascularized fibular graft procedure. [23][24][25][26][27][28] These studies provide compelling evidence for the occurrence of this complication after the procedure. However, because age and the degree of skeletal maturity were not well characterized, it is difficult to draw conclusions on the risk factors for development of ankle instability.…”

Long-Term Donor-Site Morbidity After Microsurgical Fibular Graft: Is There a Difference Between the Medial Approach and the Lateral Approach?

“…The medical literature regarding donor-site morbidity is conflicting. 4,13,[17][18][19][20] Although the technique of harvesting the fibula medially was reported in the 1980s, 21 it has gained little acceptance by microvascular reconstructive surgeons; thus no reports of its donor-site morbidity exist. Therefore this study was conducted to describe and compare the donor-site morbidity of these 2 approaches, to assess the medial approach as an alternative surgical approach.…”

Review of the free scapular flap: a versatile flap for most osteocutaneous tissue defects

“…Surgery using fibula was first performed by Taylor in 1975 and while the overwhelming number of cases have been satisfactory, some authors have reported late period problems including instability, muscle weakness and pain in the ankle from which the fibula was harvested [1,17,46]. Usually the donor site is the fibula on the healthy side and, in many cases, this is the only viable option.…”