11 patients with benign tumors (8 ameloblastomas and 3 odontogenic keratocyst), 3 patients with osteoradionecrosis, and 2 patients with secondary mandibular deformity were included. The length of free fibular flap ranged from 10- 17 cm (mean 14.6 cm). The length of the vascular pedicel ranged from 5- 11cm (mean 8.2cm).
Methods From November 1994 to October 1997, 17 cases of nonunion of fracture and massive bone defect were treated by autogenous iliac bone and fibular bone with vascular anastomosis. Of 17 cases, there were 10 cases of nonunion of bone fracture, 7 cases of bone defect following tumor resection (4 cases of benign and 3 cases of malignant).
Methods Instantly vascularized osteomyocutaneous flaps reconstruction were operated in 6 cases of mandibular osteoradionecrosis after extensive resection of sequestrum,including 5 cases of iliac flaps connected forearm flaps in series,taneous flaps,and 1 case of fibular bone flap connectedforearm flap in series.
Resection of the so-called fibular cord in congenital absence of fibula
The surgical exploration revealed a compression of the common peroneal nerve obviously due to a muscular herniation of the gastrocnemius near the head of the fibula, measuring about 1 inch in diameter.
With operative treatment, exact reconstruction of the articular surface, restoration of the length and rotational alignment of the fibula and fixation of osseous or ligamentous syndesmotic injuries are important prognostic factors.
Evaluation der Stellung der distalen Fibula nach geschlossener Reposition und Stellschraubenplatzierung mit intraoperativer drei
Die Peronealsehnenloge wird durch einen kn?chernen Verschiebespan aus der distalen Fibula nach dorsal überdacht.