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Fibula graft

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https://www.readbyqxmd.com/read/29664876/what-factors-influence-union-and-refracture-of-congenital-pseudarthrosis-of-the-tibia-a-multicenter-long-term-study
#1
Hitesh Shah, Benjamin Joseph, Binu V S Nair, Devaki B Kotian, In Ho Choi, Benjamin Stephens Richards, Charles Johnston, Vrisha Madhuri, Matthew B Dobbs, Mark Dahl
OBJECTIVE: To identify factors influencing union of congenital pseudarthrosis of the tibia (CPT), refractures, and integrity of the tibia at maturity. METHODS: Data of 119 children operated for Crawford-type IV CPT and followed-up till skeletal maturity were analyzed. Logistic regression and recursive partitioning analyses were used to test associations between several variables and the outcome. RESULTS: Primary union occurred in 86% of children...
April 16, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29658528/gait-changes-in-patients-after-reconstruction-of-facial-bones-with-fibula-and-iliac-crest-free-vascularized-flaps
#2
Małgorzata Syczewska, Romuald Krajewski, Monika Kirwil, Ewa Szczerbik, Małgorzata Kalinowska
PURPOSE: Patients with malignant tumours of the oral cavity require its surgical removal and reconstruction of the bone and soft tissues. The grafts are obtained either from leg (fibula) or pelvis (iliac crest). The removal of grafts from the locomotor apparatus can impair the gait. The aim of this study was to find out how the localization of donor site influences the gait pattern. METHODS: Results obtained for 30 patients were analyzed (16 fibula graft, 14 iliac crest graft)...
2018: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/29622289/continuity-defects-of-the-mandible-comparison-of-three-techniques-for-osseous-reconstruction-and-their-impact-on-implant-loading
#3
Yunus Okcu, Jan Rustemeyer
Computer-aided design/manufacturing (CAD/CAM) is now widely used, but whether it can help to overcome complications in mandibular reconstruction and accelerate dental implantation is still a matter for debate. Therefore, we aimed to evaluate the benefits of this technique using vascularized iliac crest or fibula flaps in mandibular reconstruction, with respect to the time between reconstruction and implantation, and the ratio of planned to inserted implants. We reviewed retrospectively the records of 54 patients who underwent mandibular reconstructions between 2012 and 2016, and included in our study the last 10 cases representing each of the following groups: iliac crest flap with CAD/CAM (Group 1); fibula flap with CAD/CAM (Group 2); and fibula flap without CAD/CAM (Group 3)...
March 9, 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29582561/effects-of-locally-administered-rhbmp-2-and-bisphosphonate-on-bone-regeneration-in-the-rat-fibula
#4
Eun-Jung Kwak, In-Ho Cha, Woong Nam, Jong In Yook, Young-Bum Park, Hyung Jun Kim
OBJECTIVE: To evaluate the ability of xenogenic bone and absorbable collagen sponge to function as an rhBMP-2 carrier and the osteoinductivity of bisphosphonate by comparison with rhBMP-2. MATERIALS AND METHODS: Thirty-two Sprague-Dawley male rats were divided into four groups. Segmental ostectomy of both fibulae was performed, and the defect area was then treated with Rapiderm Pad (absorbable collagen sponge; COL_BMP) or CollaOss (xenogenic bone; XENO_BMP) with application of rhBMP-2...
March 26, 2018: Oral Diseases
https://www.readbyqxmd.com/read/29570531/simultaneous-implant-placement-in-a-mandibular-defect-reconstructed-with-a-free-fibula-graft-and-fabrication-of-a-fixed-metal-porcelain-prosthesis
#5
Ali M Kökat, Ali R Erçöçen, Banu Karayazgan-Saraçoğlu
This clinical report presents the multidisciplinary treatment approach for a 23-year-old male patient who underwent a total mandibular reconstruction due to trauma in the past and experienced postoperative complications. For his retreatment, exposed fixation plate was removed and infected bone was debrided and then a free fibula graft augmentation with simultaneous implant placement procedure was performed. After an osseointegration period of 6 months, a screw-retained porcelain fused to metal fixed prosthesis was fabricated and delivered...
March 22, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29551943/repair-of-bone-defect-of-the-lateral-forefoot-by-double-segment-triangular-fibula-flap-with-vascular-pedicle-a-case-report
#6
Ruifu Yang, Mingwu Zhou, Chaofeng Xing, Shimin Li, Li Song, Jia Chen, Yingjie Xiong, Kai Zhang
Objective: To expound the clinical effect of a new operation by transplanting double segment triangular fibula flap with vascular pedicle to repair the forefoot with lateral bone defect, and to study how to improve the operation method in the following stage. Methods: The inclusion criteria: More than 2 phalangeal and metatarsal bones defects of the lateral forefoot, widespread skin and soft tissue defects on pelma and dorsal foot, and destruction of the anterior aspect of foot arch, which seriously affects the foot function...
December 2017: Saudi Journal of Biological Sciences
https://www.readbyqxmd.com/read/29525363/foot-reconstruction-using-a-free-proximal-peroneal-artery-perforator-flap-anatomical-study-and-clinical-application
#7
Hyun Ho Han, Yeon Ji Lee, Suk-Ho Moon
BACKGROUND: When a small, thin, and durable flap is required for coverage of the foot, the proximal peroneal artery perforator (PPAP) free flap may be a novel option. However, few clinical results and anatomical studies on the PPAP flap have been published. METHODS: A total of 24 PPAP flaps used in 22 patients from January 2013 to December 2016 were analyzed. All flaps were elevated in the subfascial plane based on a single perforator from the peroneal artery between the soleus and peroneus muscles...
February 22, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29521762/does-a-vascularized-fibula-free-bone-grafted-immediately-after-hemimandibulectomy-in-a-child-grow-or-relapse-during-adolescence
#8
Kohei Okuyama, Masashi Yamashiro, Atsushi Kaida, Aya Kawamata, Miho Mizutani, Yasuyuki Michi, Narikazu Uzawa, Tomoyuki Yano, Rei Tohyama, Satoshi Yamaguchi
For young growing children before the end of skeletal maturity, the growth activity of the grafted bone after hemimandibulectomy is not well-known. After an adolescence, such a patient may have facial deformity because the anterior growth point of the mandible is in the condylar neck. A 13-year-old boy was performed hemimandibulectomy with immediate mandibular reconstruction by fibula free flap (FFF) because of a huge ameloblastic fibroma. The authors evaluated the length of FFF on the images of computed tomography (CT) at 5 and 60 months after the operation and compared them by calculating growth rates...
March 8, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29513893/predictors-of-complications-in-heat-treated-autograft-reconstruction-after-intercalary-resection-for-malignant-musculoskeletal-tumors-of-the-extremity
#9
Kunihiro Ikuta, Yoshihiro Nishida, Hideshi Sugiura, Satoshi Tsukushi, Kenji Yamada, Hiroshi Urakawa, Eisuke Arai, Shunsuke Hamada, Naoki Ishiguro
BACKGROUND: Biological reconstruction with recycled heat-treated autografts has been an option for a segmental skeletal defect after intercalary resection for malignant musculoskeletal tumors in the extremity. This study was undertaken to evaluate the clinical outcomes in patients treated with this procedure and identify factors affecting the incidence of complications. METHODS: We retrospectively reviewed 24 patients treated with heat-treated autografts after intercalary resection at our institution between 1992 and 2015...
March 7, 2018: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29513891/free-vascularized-fibula-grafting-in-the-operative-treatment-of-malignant-bone-tumors-of-the-upper-extremity-a-systematic-review-of-outcomes-and-complications
#10
Mark J Landau, Ido Badash, Christine Yin, Ram K Alluri, Ketan M Patel
BACKGROUND AND OBJECTIVES: Vascularized bone grafting after tumor resection can be an important component in the treatment of bony neoplasms of the upper extremity. The purpose of this study was to determine the outcomes of free vascularized fibula grafting (FVFG) in the treatment of upper extremity sarcomas. METHODS: A systematic review of the literature of FVFG used in the treatment of upper extremity sarcomas was performed. RESULTS: A total of 56 studies were included in final analysis...
March 7, 2018: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29506957/prefabricated-fibula-free-flap-with-dental-implants-for-mandibular-reconstruction
#11
D Pauchet, J-L Pigot, F Chabolle, C-A Bach
Free fibula transplant is routinely used for mandibular reconstruction in head and neck cancer. Dental rehabilitation, the objective of mandibular reconstruction, requires the use of dental implants as supports for fixed or removable dentures. Positioning of fibular bone grafts and implants determines implant osseointegration and the possibilities of dental rehabilitation. Prefabrication of a fibula free flap with dental implants prior to harvesting as a free flap can promote implant osseointegration. The position of the implants must then be precisely planned...
March 2, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/29504970/application-of-vascularized-fibular-graft-for-reconstruction-and-stabilization-of-multilevel-cervical-tuberculosis-a-case-report
#12
Jian Zhang, Wen-Si He, Cheng Wang, Yi-Guo Yan, Zhi-Hua Ouyang, Jing-Bo Xue, Xue-Lin Li, Wen-Jun Wang
Multilevel cervical reconstruction and fusion after cervical tuberculosis has always been a challenge. The current implantation materials for cervical fusion, including titanium mesh, cage, and plate are limited by its inferior biological mechanical characteristics and the properties of the metallic material. This has led to the increased risk of recurrent infection after surgery. In addition, the unique nature of tuberculosis infection results in the low rate of cervical fusion and high risk of recurrence...
January 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29444543/posterolateral-corner-reconstruction-using-the-anatomical-two-tailed-graft-technique-clinical-outcomes-in-the-multiligament-injured-knee
#13
Jarret M Woodmass, Thomas L Sanders, Nick R Johnson, Isabella T Wu, Aaron J Krych, Michael J Stuart, Bruce A Levy
Injury to the posterolateral corner (PLC) of the knee can lead to both varus and rotational instability. Multiple PLC reconstruction techniques have been described, including one-tailed graft (fibula-based constructs) or two-tailed graft (combined fibula- and tibia-based constructs). The purpose of our study was to evaluate the clinical outcomes of anatomical two-tailed graft reconstruction of the PLC in the setting of multiligament knee injuries (MKLIs) with grade III varus instability. Patients were identified through a prospective MLKI database between 2004 and 2013...
February 14, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29443832/one-barrel-microsurgical-fibula-flap-for-reconstruction-of-large-defects-of-the-femur
#14
Jung Eun Lee, Min Bom Kim, Do Hwan Han, Sung Hee Pyo, Young Ho Lee
Various methods for reconstructing large femur bone defects after tumor resection have been introduced. In this study, we reviewed the clinical outcomes of using a 1-barrel free vascularized fibular graft (FVFG) protected by a lateral locking plate for large femoral defects not involving the knee joint.Between August 2007 and August 2013, we treated 7 patients with large femoral bone defects after tumor resection. The mean age of the patients was 19 years (range, 12-36 years), and 3 were women. All defects were free of infection before the procedure...
April 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29442096/oral-and-masticatory-rehabilitation-using-osseointegrated-dental-implants-after-resective-treatment-of-multicystic-ameloblastoma-in-the-lower-jaw-with-a-fibula-graft
#15
João Ricardo Almeida Grossi, Tatiana Miranda Deliberador, Tielly Saad, Rafaela Scariot, Joao Cesar Zielak, Allan Fernando Giovanini
Ameloblastoma is an aggressive odontogenic tumor which typically occurs between third and fourth decade of life that often needs resective approach. Immediate reconstruction may show better results. The treatment of multicystic ameloblastoma in the mandible being a rare case that occurred in the late second decade of life, which was surgically removed along with the affected teeth with safety margins, and the region was immediately reconstructed using a vascularized graft, removed from the fibula. Its integration, in combination with osseointegrated dental implants and fixed implant-supported prostheses, restored chewing function and esthetics...
January 2018: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/29418008/double-barrel-vascularized-dual-fibula-transfer-with-epiphyseal-growth-plate-for-hip-reconstruction-a-case-report
#16
Fabio Santanelli di Pompeo, Gennaro Selvaggi, Benedetto Longo, Rosaria Laporta, Vittoria Amorosi, Michail Sorotos
We present a case report of a 10-year-old girl diagnosed with Ewing sarcoma treated with intra-articular wide resection of the right femur and reconstruction with a series-connected double-barrel bilateral vascularized fibula graft (db-BVFG), including fibular head for articulation with the acetabulum of the pelvic bone and preservation of the epiphyseal growth plates for eventual limb growth. No postoperative complications were observed and bone union was achieved with fibular graft hypertrophy, allowing for full weight bearing...
February 8, 2018: Microsurgery
https://www.readbyqxmd.com/read/29387307/bone-allograft-segment-covered-with-a-vascularized-fibular-periosteal-flap-a-new-technique-for-pediatric-mandibular-reconstruction
#17
Nicolas E Sierra, Paula Diaz-Gallardo, Jorge Knörr, Vasco Mascarenhas, Eloy García-Diez, Montserrat Munill-Ferrer, Maria S Bescós-Atín, Francisco Soldado
The free vascularized fibular graft is nowadays the preferred technique for pediatric mandibular reconstruction. Despite the versatility and proven efficacy for restoring the facial appearance and maxillomandibular function, those mandibular reconstructions with free vascularized fibula associate difficulties for a simultaneous restoration of the alveolar height and facial contour, which are derived from the height discrepancy between the fibula and the native mandible. In addition, the donor-site growth and morbidity are of special concern in the pediatric patient...
March 2018: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/29380255/the-teramoto-distal-tibial-oblique-osteotomy-dtoo-surgical-technique-and-applicability-for-ankle-osteoarthritis-with-varus-deformity
#18
Tsukasa Teramoto, Shota Harada, Motoyuki Takaki, Tomohiko Asahara, Narutaka Kato, Nobuyuki Takenaka, Takasi Matsushita, Yosiaki Makino, Kouitiro Tasiro, Ootuka Kazutaka, Yukinobu Nishi, Kiyoto Kinugsa
We have devised a medial peri-articular osteotomy, the distal tibial oblique osteotomy (DTOO), and have used this technique since 1994 for ankle osteoarthritis of advanced and late stages associated with varus inclination. This report describes the surgical technique and its applicability. DTOO can be used for cases of varus ankle osteoarthritis with a range of the ankle joint movement of at least 10° or more. The osteotomy is obliquely directed cut across the distal tibia from proximal-medial to distal lateral and is of an opening-wedge type with the centre of rotation coincident with the centre of the tibiofibular joint...
January 29, 2018: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/29355166/giant-cell-tumour-of-the-clavicle-a-rare-presentation-of-a-locally-aggressive-tumour
#19
Adewole Tayo Akinsulire, Olakunle Olaleke Badmus, Suleiman Olayiwola Giwa
We report a case of a 28-year-old female who presents with painless, progressively increasing left upper chest swelling of 6 months duration. Examination revealed a 20 by 10 cm firm mass arising from the clavicle. She was investigated and a diagnosis established based on the histological report. The tumour was excised with a wide margin and reconstruction done with an autogenous fibula graft. Full functional ability was restored in limb with the radiological union. After 5 years of regular follow-up, there was no evidence of recurrence and shoulder function remained excellent...
October 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29354422/combined-anatomic-anterior-cruciate-ligament-and-double-bundle-anterolateral-ligament-reconstruction
#20
Assem Mohamed Noureldin Zein, Mohamed Elshafie, Ahmed Nady Saleh Elsaid, Mohamed Ahmed Elsaid Elrefai
The results of arthroscopic anterior cruciate ligament (ACL) reconstruction are so far satisfactory and improving over time as a result of the improved understanding of the anatomy and biomechanics of the ACL. Rotational instability confirmed by a positive pivot shift is present in more than 15% of cases who underwent successful ACL reconstruction. Persistent rotational instability interferes with performing pivoting sports, and also may lead to meniscal and chondral injuries, or re-rupture of the reconstructed ACL...
August 2017: Arthroscopy Techniques
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