Abstract
How to harvest free fibula flap for mandibular reconstruction? Practical tips and tricks
Highlights
The fibula is a long non-weight bearing bone of the lower extremity with adequate cortical thickness rendering it one of the strongest bones available for mandibular reconstruction [1]
The strength of the cortical bone effectively withstands the powerful forces of mastication when used for mandibular reconstruction
The fibula can be transferred either as a free osseous or as a free osteocutaneous flap based on septocutaneous or musculocutaneous perforators arising from the peroneal artery and vein along the posterior crural septum
Summary
The fibula is a long non-weight bearing bone of the lower extremity with adequate cortical thickness rendering it one of the strongest bones available for mandibular reconstruction [1]. 22 to 25 cm of bone can be harvested while preserving 6 to 7 cm of bone both distally and proximally to maintain the integrity of the ankle and knee joints as well as the common peroneal nerve, making this donor site unique in terms of the ability to restore total or subtotal defects of the mandible [2]. The strength of the cortical bone effectively withstands the powerful forces of mastication when used for mandibular reconstruction.
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