American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 27, Issue 1 , Pages 29-32 , January 2006

Evaluation of fibula free flap donor site morbidity

  • Alan Garrett, DPM

      Affiliations

    • Department of Orthopedic Surgery, John Peter Smith Hospital, Fort Worth, TX, USA
    • ,
  • Yadranko Ducic, MD, FRCS(C), FACS

      Affiliations

    • Division of Otolaryngology and Facial Plastic Surgery, John Peter Smith Hospital, Fort Worth, TX, USA
    • Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA
    • Corresponding Author InformationCorresponding author. Division of Otolaryngology and Facial Plastic Surgery, John Peter Smith Hospital, 1500 South Main Street, Fort Worth, TX 76104, USA. Tel.: +1 817 927 1172; fax: +1 817 927 1605.
    • ,
  • Raghu S. Athre, MD

      Affiliations

    • Division of Otolaryngology and Facial Plastic Surgery, John Peter Smith Hospital, Fort Worth, TX, USA
    • Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA
    • ,
  • Travis Motley, MS, DPM

      Affiliations

    • Department of Orthopedic Surgery, John Peter Smith Hospital, Fort Worth, TX, USA
    • ,
  • Brian Carpenter, DPM

      Affiliations

    • Department of Orthopedic Surgery, John Peter Smith Hospital, Fort Worth, TX, USA

Received 16 December 2004

References 

  1. Ueba Y, Fujikawa S. Nine years follow up of a free vascularized fibular graft in neurofibromatosis—a case report and literature review. Jpn J Orthop Trauma Surg. 1983;26:595–600
  2. Horiuchi K, Hattori A, Inada I, et al. Mandibular reconstruction using the double barrel fibular graft. Microsurgery. 1995;16:450–454
  3. Weber RA, Pederson WC. Skin paddle salvage in the fibula osteocutaneous free flap with secondary skin paddle vascular anastomosis. J Reconstr Microsurg. 1995;11:239–241
  4. Taylor GI, Miller GD, Ham FJ. The free vascularized bone graft. A clinical extension of microvascular techniques. Plast Reconstr Surg. 1975;55:533–544
  5. Hidalgo DA. Fibula free flap: a new method of mandible reconstruction. Plast Reconstr Surg. 1989;84:71–79
  6. Chen ZW, Yan W. The study and clinical application of the osteocutaneous flap of fibula. Microsurgery. 1983;4:11–16
  7. Disa JJ, Cordeiro PG. Mandible reconstruction with microvascular surgery. Semin Surg Oncol. 2000;19:226–234
  8. Weiland AJ, Moore JR, Daniel RK. Vascularized bone autografts. Experience with 41 cases. Clin Orthop. 1983;174:87–95
  9. Vail TP, Urbanlak JR. Donor-site morbidity with use of vascularized autogenous fibular grafts. J Bone Joint Surg Am. 1996;78:204–211
  10. Anthony JP, Rawnsley JD, Benhalm P, et al. Donor leg morbidity and function after fibula free flap mandible reconstruction. Plast Reconstr Surg. 1995;96:146–152
  11. Babhulkar SS, Pande KC, Babhulkar S. Ankle instability after fibular resection. J Bone Joint Surg Br. 1995;77:258–261
  12. Ganel A, Yaffe B. Ankle instability of the donor site following removal of vascularized fibula bone graft. Ann Plast Surg. 1990;24:7–9
  13. Gore DR, Gardner GM, Sepic SB, et al. Function following partial fibulectomy. Clin Orthop. 1987;220:206–210
  14. Shpitzer T, Nellgan P, Boyd B, et al. Leg morbidity and function following fibular free flap harvest. Ann Plast Surg. 1997;38:460–464
  15. Kitaoka MD, Alexander MD, Adelaar MD, et al. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int. 1994;15:349–353
  16. Yablon IG, Heller FG, Shouse L. The key role of the lateral malleolus in displaced fractures of the ankle. J Bone Joint Surg. 1977;59(2):169–173

☆ No grants or other assistance were received in preparation of this manuscript.

PII: S0196-0709(05)00132-8

doi: 10.1016/j.amjoto.2005.07.003

American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 27, Issue 1 , Pages 29-32 , January 2006

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