Fibular Osteoseptocutaneous Flap: Anatomic Study and Clinical Application

Wei, Fu‐Chan; Chen, H C; Chuang, Cheng Keng; Noordhoff, M. Samuel

doi:10.1097/00006534-198608000-00008

Cited by 411 publications

(226 citation statements)

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“…Since its first description by Taylor et al 1 , the fibula free flap (FFF) has been widely used to reconstruct segmental long bone and mandibular or maxillary defects [2][3][4][5][6] . The possibility to harvest the flap with only bone tissue or associated with muscular and skin components makes this flap indicated in the reconstruction of bone and soft-tissue defects of the oral cavity 7 .…”

Section: Introductionmentioning

confidence: 99%

“…The possibility to harvest the flap with only bone tissue or associated with muscular and skin components makes this flap indicated in the reconstruction of bone and soft-tissue defects of the oral cavity 7 . The FFF presents numerous advantages including: good bone length and quality, good length and diameter of the vascular pedicle, and ease of harvest and bone shaping with osteotomies 2,3 . The thickness of the fibula is adequate for positioning osteointegrated implant for dental prosthesis and the distance between the donor and recipient sites allows two teams to work at the same time 2,3,8,9 .…”

Section: Introductionmentioning

confidence: 99%

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Stair Ascent and Descent in Assessing Donor-Site Morbidity Following Osteocutaneous Free Fibula Transfer: A Preliminary Study

Baj

Lovecchio

Bolzoni

et al. 2015

Journal of Oral and Maxillofacial Surgery

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Stair Ascent and Descent in Assessing Donor-Site Morbidity Following Osteocutaneous Free Fibula Transfer: A Preliminary Study

Baj

Lovecchio

Bolzoni

et al. 2015

Journal of Oral and Maxillofacial Surgery

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“…[1][2][3][4] It has numerous advantages, including good bone length and quality, good length and diameter of the vascular pedicle, reliable skin paddle for simultaneous soft tissue reconstruction, and ease of harvest and bone shaping with osteotomies. 1,4 The thickness of the fibula is adequate for osseointegrated teeth implantation. Its use in the head and neck area provides distance between the donor and recipient sites, which allows two teams work at the same time.…”

Section: Introductionmentioning

confidence: 99%

“…Its use in the head and neck area provides distance between the donor and recipient sites, which allows two teams work at the same time. 1,[4][5][6] Despite of its wide use in reconstructive surgery, the donor-site morbidity of this flap has not been studied in detail. Although more objective quantitative methods were been utilized more recently, most previous published reports used questionnaires or simple clinical subjective evaluations.…”

Section: Introductionmentioning

confidence: 99%

Assessment of fibula osteoseptocutaneous flap donor‐site morbidity using balance and gait test

Chou

Liao

Yazar

et al. 2009

Journal Orthopaedic Research

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To assess the functional deficits in gait and balance after fibular osteoseptocutaneous flap harvest, a case-control study in a hospital-based biomechanical laboratory was conducted. Eleven patients receiving fibula osteoseptocutaneous flaps were enrolled as study group and 10 age-matched and healthy subjects as a control group. The average postoperative period at the time of evaluation was 27.4 months (range: 10 to 68 months) and the average age at the time of evaluation was 52.1 years (range: 38 to 76 years). The balance test by Smart Balance Master and gait analysis were used for objective assessment of the donor leg function postoperatively. No statistical differences were observed in the kinetic and kinematic variables of gait analysis except double support time in both the groups. There were also no significant differences in simple static balance test (eyes open, eyes closed, swaying vision, eyes open with swaying surface, and sway-referenced vision and support). Significant differences were observed in more difficult task (eye closed with swaying support) and in the use of ankle strategy for maintaining maximum balance. In the dynamic balance test only specificity of the forward left direction determined significant difference in reaction time of movement control of gravity. The results of ankle strategy usage and dynamic balance indicated deficits of ankle muscle torque. Necessary postoperative physical training is required for ankle muscle torque and vestibular sense.

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“…The phenomenon is more common in men (over 80% of cases) in the third and fourth decades of life, probably due to the fact that these men are more frequently involved in risky activities (Scaglietti et al, 1965). The dominant limb is the one most affected (Weber & Cech, 1976;Wei et al 1986;Weiland et al 1979), probably due to intensified use of the limb in the postoperative period.…”

Section: Epidemiologymentioning

confidence: 99%