Nonunion of the Clavicle: A Rare Indication for Vascularized Free Fibula Transfer

Definitive Treatment of Persistent Frontal Sinus Infections: Elimination of Dead Space and Sinonasal Communication

“…The rich vascularity of this flap has been shown to promote improved healing, bony union, and an ability to overcome local infection and osteomyelitis. 40,[73][74][75] The soft tissue and muscle fully separate the aerodigestive system from the anterior cranial base while obliterating the dead space. This is especially important in this patient population, in whom a previous cranialization or multiple dural manipulations have been performed, as the dura is often scarred down and inhibits the expansion of the brain to fill the dead space.…”

Einsatzmöglichkeiten der freien mikrochirurgischen Fibulatransplantation in der Rekonstruktion komplexer ossärer Defekte an den Extremitäten – Literaturübersicht und Fallserie

“…Die Indikation zur Rekonstruktion in dieser Fallserie beschränkte sich auf die obere und untere Extremität. Eine Besonderheit stellte hier die Rekonstruktion des Schlüsselbeins (Fall 5) dar, was in der Literatur verhältnismäßig selten zu finden ist [35,36]. Ausgehend von den Ergebnissen des vorliegenden Falles und der Literatur ist die Rekonstruktion der Klavikula mittels freier Fibula eine verlässliche Methode mit einem guten langfristigen funktionellen Ergebnis [36].…”

Use of the Microvascular Free Fibula Transfer as a Salvage Reconstruction for Failed Anterior Spine Surgery due to Chronic Osteomyelitis

“…The fibula provides a bicortical bone, which can be utilized to reconstruct various osseous defects of the upper and lower extremities, cranium, and spine. 38,39 A skin island can be harvested along with the bone (osteoseptocutaneous fibula) 2,3 for either combined soft-tissue reconstruction or flap "monitoring." 38 Both are usually not indicated in spinal fusions ("buried flap"), and continuous evaluation of flap perfusion is commonly achieved using a special Doppler system (Cook).…”