scholarly journals DONOR SITE MORBIDITY OF FIBULAR FLAP

2021 ◽  
Vol 71 (2) ◽  
pp. 387-91
Author(s):  
Ghazanfar Ali ◽  
Abdul Majid ◽  
Danish Almas ◽  
Shahid Hameed ◽  
Rizwan Aslam ◽  
...  
Keyword(s):  
Ankle Instability ◽  
Donor Site ◽  
Graft Loss ◽  
Donor Site Morbidity ◽  
Adverse Outcomes ◽  
Military Hospital ◽  
Free Fibula Flap ◽  
Wide Range ◽  
Free Fibula ◽  
Fibular Flap

Objective: To present the early and late outcomes related to donor site morbidity of Free Fibular Flap. Study Design: Prospective observational study. Place and Duration of Study: Plastic surgery department, Combined Military Hospital Rawalpindi, from Jan 2009 to Jan 2020. Methodology: In total 361 patients were enrolled for the study through consecutive purposive sampling. All patients requiring free fibula flap for reconstruction of the defect were included in the study. However, the patients with Diabetes Mellitus, Smoking or peripheral vascular disease were excluded from the study. The patients were asked to visit on second week and then at three months for late outcomes. The results were entered SPSS-24 for analysis and interpretation of data. Results: Out of total 361 patients enrolled for study 293 (81.16%) were male and 68 (18.83%) were female. The men age was 51.43 years SD 14.6 (range 4 year to 68 years). In early outcomes, graft loss 29 (8.03%) and sensory deficit 19 (5.26%), are the commonest adverse outcomes. Results of late follow up revealed chronic pain in 29 (8.03%), ankle instability in 24 (6.64%), gait abnormality in 29 (8.76%) and claw toe in 33 (9.14%) patients. The American Orthopedic Foot and Ankle Society (AOFAS) score was 88.45%. Majority (52.63%) patients were very satisfied. Conclusion: The free Fibula is excellent choice for reconstruction of a wide range of osseous defects with minimum donor site morbidity and high satisfaction rate among the patients.Keywords:

Long-term donor-site morbidity after vascularized free fibula flap harvesting: Clinical and gait analysis

2016 ◽  
Vol 69 (2) ◽  
pp. 262-269 ◽  
Author(s):  
Damien Feuvrier ◽  
Yoshimasa Sagawa ◽  
Samuel Béliard ◽  
Julien Pauchot ◽  
Pierre Decavel
Keyword(s):  
Gait Analysis ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Free Fibula

Risk Factors for Early and Late Donor-Site Morbidity After Free Fibula Flap Harvest

2015 ◽  
Vol 73 (8) ◽  
pp. 1637-1640 ◽  
Author(s):  
Peng Li ◽  
Qigen Fang ◽  
Jinxing Qi ◽  
Ruihua Luo ◽  
Changfu Sun
Keyword(s):  
Risk Factors ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Free Fibula

scholarly journals SUPRACLAVICULAR ARTERY FLAP: A SAFE, VERSATILE AND A RELIABLE FLAP A NEW WORKHORSE IN HEAD AND NECK RECONSTRUCTION OUR CLINICAL EXPERIENCE

2021 ◽  
Vol 9 (01) ◽  
pp. 544-550
Author(s):  
Mir Mushtaq ◽  
◽  
Bashir Ahmad Bhat ◽  
Taj Din Wani ◽  
Shabir Iqbal ◽  
...  
Keyword(s):  
Head And Neck ◽  
Donor Site ◽  
Graft Loss ◽  
Surgical Techniques ◽  
Free Tissue Transfer ◽  
Functional Results ◽  
Donor Site Morbidity ◽  
Head And Neck Reconstruction ◽  
Wide Range

Background: Anterior cervical contractures of the neck represent a great challenge for plastic and reconstructive surgeons. Necks can be reconstructed with a wide range of surgical techniques. The supraclavicular flap is easy to harvest without the need for free tissue transfer. It provides a relatively large flap for neck resurfacing with tissue very similar to that of the neck. Material and Methods: This study was carried out in the Plastic Surgery Department of GMC Srinagar between November 2015 and October 2019. It involved 50 patients (40 females and 10 males), in whom supraclavicular artery flap was done to reconstruct head and neck. Follow-up period ranged from 2-27 months (average 12.3). Results: The study involved 50 patients. Mean age was 26.5 years (range 57-12 years). Thirty five patients had post-burn neck contractures, five patients had portwine stain face, three had marjolin ulcer, four patients had post traumatic and three had post bear maul defect. We harvested unilateral flaps in all of patients. In thirty five patients the flap was pedicled, three had adipofascial pedicle and twelve were islanded. The size of the reconstructed defect ranged from 23x10 to 14x6, and the size of the flap varied from 16x7cm to 25x11. Mean length was 21.7 cm. We used a partial thickness skin graft for donor site closure in 41 cases and closed primarily in 9 cases. Flap was used to resurface neck in 35 patients, face resurfacing in 10 patients, as intraoral lining in 3 patients. The following complications occurred: hematoma in 3 cases, partial distal necrosis in 2 cases, and donor site graft loss in 3 cases. Follow-up period ranged from 2-27 months Conclusion: The supraclavicular artery island flap is a thin, malleable fasciocutaneous flap that is easily and rapidly harvested, with a reliable pedicle and minimal donor site morbidity. It constitutes an alternative to local flaps, while providing equivalent functional results, and must be an integral part of the head and neck reconstructive surgeons therapeutic armamentarium.

Donor-Site Morbidity Following Free Fibula Flap Harvest for Mandibular or Maxillary Reconstruction in Pediatric Patients

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Eric Santamaría ◽  
José Roberto Galaso-Trujillo ◽  
Damián Palafox ◽  
Soledad Rubio Mainardi ◽  
Rigoberto Arámburo García ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Free Fibula

The impact of harvest length and detachment of the interosseous membrane on donor-site morbidity following free fibula flap surgery—a biomechanical experimental study

2018 ◽  
Vol 46 (11) ◽  
pp. 1939-1942 ◽  
Author(s):  
Samer George Hakim ◽  
Ali Shakery Tehrany ◽  
Robert Wendlandt ◽  
Hans-Christian Jacobsen ◽  
Thomas Trenkle ◽  
...  
Keyword(s):  
Experimental Study ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Interosseous Membrane ◽  
Flap Surgery ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Free Fibula ◽  
The Impact

Qualitative and Quantitative Analyses of Donor-Site Morbidity following Suprafascial versus Subfascial Free Fibula Flap Harvesting

2011 ◽  
Vol 128 (1) ◽  
pp. 137-145 ◽  
Author(s):  
Olympia S. Sagalongos ◽  
Ian L. Valerio ◽  
Ching-Hua Hsieh ◽  
Yur-Ren Kuo ◽  
Lin-Yi Wang ◽  
...  
Keyword(s):  
Donor Site ◽  
Donor Site Morbidity ◽  
Free Fibula Flap ◽  
Qualitative And Quantitative ◽  
Fibula Flap ◽  
Free Fibula ◽  
Quantitative Analyses

scholarly journals Mandibular Reconstruction with Free Fibula Flap: Experience at Hayatabad Medical Complex, Peshawar

2019 ◽  
Vol 8 (4) ◽  
pp. 198-202
Author(s):  
Syed Asif Shah ◽  
Irfan Ullah ◽  
Muhammad Bilal ◽  
Mohammad Hamayun Shinwari ◽  
Adeeba Ahmad ◽  
...  
Keyword(s):  
Success Rate ◽  
Donor Site ◽  
Graft Loss ◽  
Tumor Resection ◽  
Mandibular Reconstruction ◽  
Diabetic Patients ◽  
Free Fibula Flap ◽  
Skin Paddle ◽  
Fibula Flap ◽  
Free Fibula

Background: Mandibular defects may result from trauma, infections, cancer ablation or radiation necrosis. These defects may vary according to the content and nature of the tissues that require reconstruction. The objective of this study was to evaluate the outcome of vascularised free fibula flap for mandibular reconstruction in terms of flap success rate and complications.Material and Methods: This prospective clinical study was carried out at Department of Plastic Surgery, Hayatabad Medical Complex, Peshawar from January 2014 to December 2018. The study included patients of either gender who underwent mandibular reconstruction with free fibula oseteocutaneous flap during the study period. Diabetic patients with underlying vascular pathologies and cachectic patients were excluded from the study.Results: There were 56 patients with 38 males and 18 females. Their age ranged from 24-66 years with a mean age of 36 years. The mandibular defects resulted from various etiologies and included: Squamous cell carcinoma (n=27, 48.21%), Giant cell granuloma (n=3; 5.35%), Ameloblastoma (n=2; 3.57%), Road traffic accidents (n=10; 17.85%), Firearm injury (n=9; 16%), Bomb blast injury (n=3; 5.35%) and osteoradionecrosis (n=2; 3.57%). Primary reconstruction of the mandibular defects was performed in 44 patients, whereas delayed reconstruction was performed in 12 patients. Out of the 56 flaps, 49 flaps survived completely. Our share of complications was as follows: Wound infections (n=13; 23.21%), Skin graft loss at donor site (n=5; 8.95%), Complete flap loss (n=4; 7.14%), Orocutaneous fistulae (n=3; 5.35%), Ankle instability (n=2; 3.57%), Skin paddle necrosis (n=1; 1.78%) and sensory deficit distal to donor site (n=1; 1.78%).Conclusions: Microvascular free fibula is a reliable tool for mandibular reconstruction following tumor resection or trauma. The flap has a high success rate and relatively fewer complications.

scholarly journals Anatomic basis for an algorithmic approach for free fibula flap donor side selection in composite oro-mandibular defects

2015 ◽  
Vol 48 (01) ◽  
pp. 043-047 ◽  
Author(s):  
Mohit Sharma ◽  
Abhijeet Wakure ◽  
Krishnakumar Thankappan ◽  
Jimmy Mathew ◽  
Dayanand Jairaj ◽  
...  
Keyword(s):  
Donor Site ◽  
Donor Site Morbidity ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Skin Cover ◽  
Fresh Cadaver ◽  
Free Fibula ◽  
Mucosal Lining ◽  
Mandibular Defect ◽  
The Right

ABSTRACT Introduction: Head and neck oncological resections may result in composite oro-mandibular defects involving the oral mucosa (lining), mandibular bone and the skin (cover). Reconstructive options for such defects have evolved over a period. Free fibula flap reconstruction is currently accepted the world over as the gold standard for oro-mandibular defect reconstruction. Existing literature provides conflicting views about the use of a particular side and orientation of the fibula flap for achieving the optimal outcome. The purpose of this study is to confirm anatomically the effect of bone, soft tissue and vessel orientation on the ease of doing reconstruction. Materials and Methods: This is a cadaveric study. A mandibular model with a defect was used. This was pre plated to maintain continuity. Composite fibula flaps of the same dimension were harvested from both legs of a fresh cadaver. The harvested flaps were used to reconstruct the mandibular defect in different orientations and the best configuration for each reconstructive requirement was assessed. Results: Keeping the peroneal surface for plating, that is, facing outwards, four different configurations of the fibula flap are possible for a given mandibular defect. With a posterior vascular pedicle ipsilateral fibula is suitable for skin cover and contralateral for mucosal lining and the reverse for an anteriorly placed pedicle. Conclusion: The algorithm based selection of appropriate sided fibula flap facilitates complex mandibular reconstruction by placing the right kind of tissue at the right place and helps in reducing the donor site morbidity by allowing the surgeon to harvest only the required amount of skin.

The Free Fibula Flap

2019 ◽  
pp. 431-448
Author(s):  
Matthew T. Houdek ◽  
Steven L. Moran
Keyword(s):  
Donor Site ◽  
Donor Site Morbidity ◽  
Long Bone ◽  
Bony Union ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Vascularized Fibula ◽  
Microvascular Flap ◽  
Free Fibula ◽  
Tumor Extirpation

The free vascularized fibula flap has become the most common microvascular flap option for long bone and mandibular reconstruction following trauma and tumor extirpation. The free fibula flap can provide up to 26 cm of straight, cortical bone and has acceptable donor site morbidity. Published series have noted high rates of reconstructive success, with primary bony union rates of up to 80% and overall union of 97% following supplemental nonvascularized bone grafting. It is a true workhorse flap and one that all reconstructive plastic surgeons need to be familiar.

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