The fibula is a long thin bone that has close proximity to the peroneal artery and venae and can therefore be harvested on a single large pedicle. The length of the bone, consistent blood supply and relative ease of harvest make this donor one of …

2024年3月22日 · A fibula free flap is a procedure commonly used in reconstructive surgery to replace missing bone and soft tissue, often in mandibular or maxillofacial reconstruction following trauma, cancer resection, or congenital deformities.

The vascularised free fibular flap (FFF) is the most commonly used flap in head and neck for bony reconstruction. It is a vascu-larised free composite flap containing bone and muscle, with or without skin and pro-vides reliable single-stage reconstruction with excellent functional and aesthetic results.

The fibula free flap (FFF) has been a workhorse in maxillofacial reconstruction. High success rates of this technique are reported. However, identifying risk factors for flap failure and analyzing complications can open the way to better patient ...

The fibula free flap is reconstructive surgery that takes bone and blood vessels from the patient’s leg for the reconstruction of the jaw after the surgical removal of some or all of the jawbone.

2024年12月24日 · The fibula free flap is the workhorse for head and neck composite defects including bone and soft tissue. It is a long bicortical bone that can be harvested up to 25 cm in length. This chapter explores the anatomy, intraoperative details, pearls, and pitfalls to avoid in reconstructing defects with a fibula free flap.

A free fibular flap is commonly used and is considered the gold standard in mandibular reconstruction with a good success rate [4, 7, 8, 10 - 12]. A single free fibular flap can provide major support in reconstructing two jaws and a facial profile reconstruction with sufficient 3D spatial placement [10].

Bone grafting has been used in reconstructive surgery for over a century, and recent advances in microsurgical techniques have made vascularized free fibula flap transfer a viable option for reconstructing long bony defects.

2025年2月27日 · The fibular free flap (FFF) was first introduced in 1989 by Hidalgo [1] and is the workhorse donor bone for reconstruction of mandibular defects due to its dependable vascular anatomy, ability to perform multiple osteotomies, and ample bony stock for dental implant support.

2024年11月2日 · The free fibula flap is commonly used for mandibular reconstruction, and several techniques can be used to increase the vertical height of the bony segment for insertion of osseointegrated teeth.