Abstract
Reconstructions of the sternum remain a formidable challenge for the operating team. Reconstruction of the sternumdefect, regardless of the reason, should ensure the stability of the anterior chest wall, the return of acceptable respiratory parameters and the control of wounds. Stability of the chest wall can be provided by autogenous tissues or prosthetic materials. In our experience, the fibula free osteocutaneous flaps are harvested for reconstruction of the bone defect in two patients after full-thickness defect of the sternum and anterior chest wall.
Highlights
The fibula flap has become one of the most commonly used vascularized osseous and osteocutaneous flaps for reconstruction of defects around the body, of the mandible, radius, femur, and tibia
One option for reconstruction of the chest wall skeleton is autogenous bone grafts, which avoids the use of foreign materials
We present a technique for the reconstruction of extended 3D composite anterior chest wall defects using fibula free osteocutaneous flap in two patients
Summary
The fibula flap has become one of the most commonly used vascularized osseous and osteocutaneous flaps for reconstruction of defects around the body, of the mandible, radius, femur, and tibia. It can be osteotomized into multiple segments of differing lengths and shapes. One option for reconstruction of the chest wall skeleton is autogenous bone grafts, which avoids the use of foreign materials. We present a technique for the reconstruction of extended 3D composite anterior chest wall defects using fibula free osteocutaneous flap in two patients
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