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At least 955 records · Page 53Linked to original sources
PubMed1992

Imaging rounds. Multifocal adamantinoma of the tibia and fibula.

The following is a description of the clinical and roentgenographic findings in a case exhibiting a condition of interest to the orthopaedic surgeon. Initial history, physical findings, and roentgenographic examinations are found on this page. The diagnosis and discussion of this case are presented on the following pages.

Adult↗
PubMedDate not supplied

[Hemimandibular reconstruction via an autologous transplant of vascularized fibula. A report of a clinical case].

The authors illustrate the advantage of vascularised as opposed to conventional edges in the reconstruction of the jaw, focusing in particular on the use of a fibular autologous transplant. After a rapid description of the surgical technique used to remove the graft, they report a case of mandibular reconstruction in a young patient who had been involved in a shooting accident which had led to the loss of the left of this jaw.

Adult↗
PubMed2006

[Intraoperative planning and inset principles of fibula osteoseptocutaneous flap in compound or composite oromandibular defect reconstruction].

OBJECTIVES: The use of free fibular osteocutaneous flap was evaluated in the reconstruction of compound and composite mandibular defects. PATIENTS AND METHODS: The study included 30 patients (27 males, 3 females, mean age 52.6 years; range 42 to 66 years) who received free osteoseptocutaneous fibular flap for the reconstruction of compound or composite oromandibular defects following surgical tumor ablation. Five patients with extensive skin defects accompanying lateral mandible and oral defects also received free anterolateral thigh perforator flap. Other patients were treated with conventional fibular osteocutaneous flap or its chimeric form. The mean follow-up period was 19.4 months (range 8 to 38 months). RESULTS: With the applied technique, a successful functional and aesthetic restoration was achieved without total flap failure and with minimal donor site morbidity. Infection and fascial abscess encountered in one patient were treated with debridement and antibiotic therapy. In one patient who developed osteonecrosis in the neomandibula, the plate was removed and debridement was performed in the 13th month. CONCLUSION: By appropriate flap planning and placement, reconstruction of large oromandibular tumors with osteocutaneous fibular flaps provides successful functional and aesthetic restoration.

Adult↗
PubMed1991

[Reconstruction of loss of bony substance in limbs by free vascularized fibula transplant].

The authors present their experience of bone-loss reconstruction by a free vasculized fibular transfer. 62 cases were operated, with an average follow-up of 6 years (between 24 to 13 years). Studied were 15 upper limbs (10 humerus, 3 ulna, 2 radius), 28 femurs and 19 tibias. We found a male predominance: 46 cases and the average age was 33 years old. The etiology was often due to trauma: serious road traffic accidents (37 cases). 44 cases were septic and the average bone-loss was of 10 cm (between 4 cm to 30). The most frequent complications were due to fractures of the graft (10 cases) and stiffness (15 cases). Consolidation rate was of 87%: 8 were failures (3 upper limbs: 20% at femur level, 10% at tibia level). The average consolidation rate of the septic cases was of 81%, and the non-septic cases over 97.5%. It seems to be a good technique and in particular for septic cases using a basic orthopedic technique and microsurgical suture.

Bone Transplantation↗
PubMed1991

The symptomatic os subfibulare. Avulsion fracture of the fibula associated with recurrent instability of the ankle.

Four adults who had symptomatic instability of the ankle had an associated os subfibulare. Operative exploration revealed the ossicle to represent a non-union of an avulsion fracture of the anterior talofibular ligament. These findings suggest that an os subfibulare represents an avulsion fracture that may or may not be associated with laxity of the anterior talofibular ligament, rather than being a normal variant.

Adult↗