Versatility of the microvascular fibular flap in limb reconstruction

Parra-Márquez, Miguel de la; Zorola-Tellez, Oscar; Cárdenas-Rodríguez, Silvia; Rangel-Flores, Jesús María; Sánchez-Terrones, Gerardo

doi:10.1016/j.circen.2016.04.013

Cited by 6 publications

(3 citation statements)

References 20 publications

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“…The microvascular free peroneal flap is the most viable option for lesions larger than 6 cm, as in our case, providing a better functional outcome, especially in high-energy accidents due to vascular injuries [1][2][3][4][5][6]. Therefore, it is necessary to have qualified personnel and necessary supplies for its realization.…”

Section: Discussionmentioning

confidence: 98%

Case Report: Salvage of Right Pelvic Limb, by Free Microvascular Flap Fibula, Surgery in Collaboration Between the National Institute of Rehabilitation and the Central Military Hospital. Importance of Inter-Institutionality in Health

2023

Ann Case Report

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Section: Discussionmentioning

confidence: 98%

Case Report: Salvage of Right Pelvic Limb, by Free Microvascular Flap Fibula, Surgery in Collaboration Between the National Institute of Rehabilitation and the Central Military Hospital. Importance of Inter-Institutionality in Health

2023

Ann Case Report

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“…Composite reconstruction is a challenging task as it requires proper planning and execution. Many authors had used free fibula flap as their first choice for the reconstruction for mandible [ 2 , 3 ], maxilla [ 4 , 5 ], clavicle [ 6 ], upper limb and lower limb [ 7 , 8 ], epiphysial transfer [ 9 ], hand [ 10 ] and foot [ 11 - 13 ]. One recent study by Taylor et al who also reported the first free vascularized fibula for a lower limb trauma, discuss many uses of vascularized fibula with his 40 years of experience [ 11 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

Experience of Saving Limbs With Free Fibula Osteocutaneous Flaps

Khan

Rahman

2021

Cureus

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BackgroundComplex wounds of hands and feet have always been a challenge for reconstructive surgeon. We aim to share our experience of reconstruction of such defects using free fibula osteocutaneous flaps. Materials and methodsThis is a retrospective study over a period of six years which was conducted at a tertiary care teaching hospital in Karachi. All patients, who were included and had reconstruction with this flap, agreed to participate in this study. Hospital records were retrieved for patient's demographic details, mode of injury, size of the defect, number of bone loss in the defect, dimensions of flap, size and number of bony segments in each flap. Outcomes were recorded in terms of flap survival and secondary procedures, with postoperative radiographs. ResultsIn 14 patients, 25 (80.5%) metacarpals and 6 (19.5%) metatarsals defects were reconstructed. K-wires were used for bony stabilization and were removed at 8 weeks post-operatively. Only two flaps were re-explored due to venous congestion. Minor wound dehiscence was noted in two flaps which were managed conservatively. ConclusionProper planning and meticulous flap dissection and inset using free fibula flap can save many hand and foot from amputations

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“…Илизаровим [26]. При дефектах размером более 6 см необходимо делать [25,27]. При больших дефектах опорной кости голени реконструкция композитным лоскутом с включением fibula уже рассматривается как приоритетный метод лечения [6,11].…”

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One-stage reconstruction of bone defects with fibula perforator flap

Sliesarenko¹,

Badiul

Mankovsky

et al. 2021

ВХ

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At the current stage of reconstructive surgery development, perforator flaps have confidently taken a priority place when choosing a method for wound defects cover. However, wounds with significant volume defects of both soft tissues and the bone skeleton remain especially difficult challenges for the surgeon. The desired result of such defects repair could be a technique that allows surgeons to carry out an effective reconstruction in one step.The paper describes in detail the surgical and vascular anatomy, design, preoperative preparation and surgical technique for the mobilization of the free vascularized fibula perforator flap containing a fragment of the bone di-aphysis. Clinical examples of orthoplastic reconstruction in different locations are presented.The authors conclude that free fibula flap allows effective one-stage reconstruction of extensive wounds after trauma or oncological resections, including extensive defects of the skeleton, without significant loss of support function in the donor area. A chimera-style composite flap, which contains soft tissues and a fragment of the fibula, can already be called as a “workhorse" for orthoplastic reconstruction on the lower extremities and in the field of maxillofacial surgery.

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Versatility of the microvascular fibular flap in limb reconstruction

Cited by 6 publications

References 20 publications

Case Report: Salvage of Right Pelvic Limb, by Free Microvascular Flap Fibula, Surgery in Collaboration Between the National Institute of Rehabilitation and the Central Military Hospital. Importance of Inter-Institutionality in Health

Case Report: Salvage of Right Pelvic Limb, by Free Microvascular Flap Fibula, Surgery in Collaboration Between the National Institute of Rehabilitation and the Central Military Hospital. Importance of Inter-Institutionality in Health

Experience of Saving Limbs With Free Fibula Osteocutaneous Flaps

One-stage reconstruction of bone defects with fibula perforator flap

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