fibula

Summary

Summary: The bone of the lower leg lateral to and smaller than the tibia. In proportion to its length, it is the most slender of the long bones.

Top Publications

  1. Muramatsu K, Ihara K, Miyoshi T, Yoshida K, Iwanaga R, Hashimoto T, et al. Stimulation of neo-angiogenesis by combined use of irradiated and vascularized living bone graft for oncological reconstruction. Surg Oncol. 2012;21:223-9 pubmed publisher
    ..The rationale for a combined vascularized and irradiated bone autograft is the cumulative advantage provided by the biological properties of the former with the mechanical endurance of the latter...
  2. Qamar F, Kadakia A, Venkateswaran B. An anatomical way of treating ankle syndesmotic injuries. J Foot Ankle Surg. 2011;50:762-5 pubmed publisher
    ..The results of this case series indicate that tibiofibular syndesmosis repair with the Ankle TightRope(®) yields satisfactory results...
  3. Longo B, Nicolotti M, Ferri G, Belli E, Santanelli F. Sagittal split osteotomy of the fibula for modeling the new mandibular angle. J Craniofac Surg. 2013;24:71-4 pubmed publisher
    b>Fibula modeling techniques for mandible reconstruction carry a high risk of bone perfusion impairment and low predictability of osteotomy angles...
  4. Schepers R, Raghoebar G, Vissink A, Lahoda L, Van der Meer W, Roodenburg J, et al. Fully 3-dimensional digitally planned reconstruction of a mandible with a free vascularized fibula and immediate placement of an implant-supported prosthetic construction. Head Neck. 2013;35:E109-14 pubmed publisher
    ..We describe a fully 3-dimensional (3D) digitally planned reconstruction of a mandible and immediate prosthetic loading with a fibula graft in a 2-step surgical approach.
  5. Wang W, Zhu J, Deng J, Xia B, Xu B. Three-dimensional virtual technology in reconstruction of mandibular defect including condyle using double-barrel vascularized fibula flap. J Craniomaxillofac Surg. 2013;41:417-22 pubmed publisher
    The aim of this study is to demonstrate the reconstruction of mandibular defects including the condyle using a double-barrel vascularized fibula flap aided by three-dimensional virtual technology.
  6. White N, Corr D, Wagg J, Lorincz C, Buckley R. Locked plate fixation of the comminuted distal fibula: a biomechanical study. Can J Surg. 2013;56:35-40 pubmed publisher
    ..The purpose of this study was to compare the biomechanical properties of locked versus nonlocked lateral fibular bridge plating of comminuted, unstable ankle fractures in a mode of catastrophic failure...
  7. Chang Y, Wallace C, Tsai C, Shen Y, Hsu Y, Wei F. Dental implant outcome after primary implantation into double-barreled fibula osteoseptocutaneous free flap-reconstructed mandible. Plast Reconstr Surg. 2011;128:1220-8 pubmed publisher
    ..and aesthetic mandibular reconstruction can be achieved in a single operation by means of a double-barreled fibula osteoseptocutaneous free flap with dental implants loaded simultaneously into the upper barrel...
  8. Mottard S, Grimer R, Abudu A, Carter S, Tillman R, Jeys L, et al. Biological reconstruction after excision, irradiation and reimplantation of diaphyseal tibial tumours using an ipsilateral vascularised fibular graft. J Bone Joint Surg Br. 2012;94:1282-7 pubmed publisher
    ..We believe this to be a satisfactory method of biological reconstruction of the tibial diaphysis in selected patients...
  9. Marinković N, Vilić J. [Correlation between the lengths of the long bones of the forearm and the fibula with body height in our population]. Vojnosanit Pregl. 2012;69:394-8 pubmed

More Information

Publications62

  1. Kim S, Agashe M, Song S, Song H. Fibula-related complications during bilateral tibial lengthening: 60 patients followed for mean 5 years. Acta Orthop. 2012;83:271-5 pubmed publisher
    Complications related to the fibula during distraction osteogenesis could cause malalignment...
  2. Pellini R, Mercante G, Spriano G. Step-by-step mandibular reconstruction with free fibula flap modelling. Acta Otorhinolaryngol Ital. 2012;32:405-9 pubmed
    ..The fibula free flap approach allows the possibility of using bone with/without skin for restoring the defect...
  3. Antony A, Chen W, Kolokythas A, Weimer K, Cohen M. Use of virtual surgery and stereolithography-guided osteotomy for mandibular reconstruction with the free fibula. Plast Reconstr Surg. 2011;128:1080-4 pubmed publisher
    ..Five patients underwent composite resection of the mandible and free fibula osteocutaneous reconstruction over a 6-month period (December of 2009 to June of 2010) at a single institution ..
  4. Ciocca L, Mazzoni S, Fantini M, Persiani F, Baldissara P, Marchetti C, et al. A CAD/CAM-prototyped anatomical condylar prosthesis connected to a custom-made bone plate to support a fibula free flap. Med Biol Eng Comput. 2012;50:743-9 pubmed publisher
    ..was used to manufacture custom-made cutting guides for tumor ablation and reconstructive plates to support fibula free flaps...
  5. Bartaire E, Mouawad F, Mallet Y, Milet P, El Bedoui S, Ton Van J, et al. Morphologic assessment of mandibular reconstruction by free fibula flap and donor-site functional impairment in a series of 23 patients. Eur Ann Otorhinolaryngol Head Neck Dis. 2012;129:230-7 pubmed publisher
    Micro-anastomosed free fibula flap is an attitude of choice in mandibular defect repair in oncology, enabling effective functional rehabilitation. The present study assessed donor and recipient site morphology and donor-site sequelae.
  6. Ling X, Peng X. What is the price to pay for a free fibula flap? A systematic review of donor-site morbidity following free fibula flap surgery. Plast Reconstr Surg. 2012;129:657-74 pubmed publisher
    A number of donor-site morbidities following free fibula flap surgery, although usually minor and transient, have been documented...
  7. Shen Y, Guo X, Sun J, Li J, Shi J, Huang W, et al. Double-barrel vascularised fibula graft in mandibular reconstruction: a 10-year experience with an algorithm. J Plast Reconstr Aesthet Surg. 2013;66:364-71 pubmed publisher
    This retrospective study aims to report an algorithm to assist surgeons in selecting different modes of the double-barrel vascularised fibula graft for mandibular reconstruction.
  8. Kubo T, Osaki Y, Hattori R, Kanazawa S, Hosokawa K. Reconstruction of through-and-through oromandibular defects by the double-skin paddle fibula osteocutaneous flap: can the skin paddle always be divided?. J Plast Surg Hand Surg. 2013;47:46-9 pubmed publisher
    ..A single fibula osteocutaneous flap providing two skin islands is an option for such composite reconstruction...
  9. Ryan W, Mahony N, Delaney M, O Brien M, Murray P. Relationship of the common peroneal nerve and its branches to the head and neck of the fibula. Clin Anat. 2003;16:501-5 pubmed
    The common peroneal nerve (CPN) lies on the neck of the fibula, which forms the floor of the so-called 'fibular tunnel...
  10. Zhang C, Zeng B, Xu Z, Song W, Shao L, Jing D, et al. Treatment of femoral head necrosis with free vascularized fibula grafting: a preliminary report. Microsurgery. 2005;25:305-9 pubmed
    ..The results show that a free vascularized fibular graft would be a valuable procedure for femoral head necrosis. By this method, we can avoid or delay progress of the disease, and improve the function of the hip and quality of life...
  11. Nelson O. Examination and repair of the AITFL in transmalleolar fractures. J Orthop Trauma. 2006;20:637-43 pubmed
    ..Syndesmotic screw fixation of transmalleolar ankle fractures was not necessary when the AITFL was repaired directly by the techniques described...
  12. Chadha M, Arora S, Singh A, Gulati D, Singh A. Autogenous non-vascularized fibula for treatment of giant cell tumor of distal end radius. Arch Orthop Trauma Surg. 2010;130:1467-73 pubmed publisher
    ..We report outcome of wide resection and non-vascularized fibular grafting in biopsy-proven giant cell tumors...
  13. Fukaya E, Grossman R, Saloner D, Leon P, Nozaki M, Mathes S. Magnetic resonance angiography for free fibula flap transfer. J Reconstr Microsurg. 2007;23:205-11 pubmed
    ..Challenges in fibula free flap preparation include knowledge of: (1) tibioperoneal anatomy, (2) the positions of the perforator vessels ..
  14. Rutten S, Nolte P, Korstjens C, van Duin M, Klein Nulend J. Low-intensity pulsed ultrasound increases bone volume, osteoid thickness and mineral apposition rate in the area of fracture healing in patients with a delayed union of the osteotomized fibula. Bone. 2008;43:348-54 pubmed publisher
    ..to investigate how LIPUS affects bone healing at the tissue level in patients with a delayed union of the osteotomized fibula, by using histology and histomorphometric analysis to determine bone formation and bone resorption parameters.
  15. Forsythe K, Freedman K, Stover M, Patwardhan A. Comparison of a novel FiberWire-button construct versus metallic screw fixation in a syndesmotic injury model. Foot Ankle Int. 2008;29:49-54 pubmed publisher
    ..This study evaluates the ability of a FiberWire-button implant (Arthrex, Naples, FL) to maintain syndesmotic reduction as compared with a metallic screw...
  16. Saglik Y, Yildiz Y, Atalar H, Basarir K. Primary angiosarcoma of the fibula : a case report. Acta Orthop Belg. 2007;73:799-803 pubmed
    ..Here we present a 72-year-old male patient who had primary angiosarcoma of the fibula. He was treated with amputation, and the metastases that later emerged were successfully managed with chemotherapy.
  17. Daya M. Peroneal artery perforator chimeric flap: changing the perspective in free fibula flap use in complex oromandibular reconstruction. J Reconstr Microsurg. 2008;24:413-8 pubmed publisher
    The fibula osteoseptocutaneous flap has undergone multiple refinements since its first description in oromandibular reconstruction. There is now a better understanding of the blood supply to the skin of the lateral aspect of the leg...
  18. Kurkcu M, Benlidayi M, Kurtoglu C, Kesiktas E. Placement of implants in the mandible reconstructed with free vascularized fibula flap: comparison of 2 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105:e36-40 pubmed publisher
    ..Although the fibula flap presents many advantages, it does not offer sufficient bone height to restore the alveolar arch when ..
  19. Kanazawa Y, Tsuchiya H, Nonomura A, Takazawa K, Yamamoto N, Tomita K. Intentional marginal excision of osteosarcoma of the proximal fibula to preserve limb function. J Orthop Sci. 2003;8:757-61 pubmed
    Three cases of osteosarcoma (stage IIB) of the proximal fibula were successfully treated by marginal excision that preserved the common peroneal nerve and lateral stabilizers of the knee joint...
  20. Candal Couto J, Burrow D, Bromage S, Briggs P. Instability of the tibio-fibular syndesmosis: have we been pulling in the wrong direction?. Injury. 2004;35:814-8 pubmed
    Syndesmotic stability in ankle fractures is usually assessed intraoperatively by pulling on the fibula with a bone hook in the coronal plane ("Hook Test")...
  21. Pinto M, Harris W. Fibular segment bone bridging in trans-tibial amputation. Prosthet Orthot Int. 2004;28:220-4 pubmed
    The purpose of this paper is to present an alternative method of achieving a synostosis between tibia and fibula in trans-tibial amputations by means of a fibular segment in place of tibial osteoperiosteal flaps as described by Ertl, in ..
  22. Innocenti M, Delcroix L, Romano G. Epiphyseal transplant: harvesting technique of the proximal fibula based on the anterior tibial artery. Microsurgery. 2005;25:284-92 pubmed
    ..Among possible donor sites, the proximal fibula is definitely the most popular choice, and has been used mainly for reconstruction of the proximal humerus and ..
  23. Lampasi M, Magnani M, Donzelli O. Aneurysmal bone cysts of the distal fibula in children: long-term results of curettage and resection in nine patients. J Bone Joint Surg Br. 2007;89:1356-62 pubmed
    We report the results of the treatment of nine children with an aneurysmal bone cyst of the distal fibula (seven cysts were juxtaphyseal, and two metaphyseal)...
  24. Korompilias A, Beris A, Lykissas M, Kostas Agnantis I, Soucacos P. Femoral head osteonecrosis: why choose free vascularized fibula grafting. Microsurgery. 2011;31:223-8 pubmed publisher
    ..With the progress of microsurgery, the implantation of a free vascularized fibula graft to the necrotic femoral head has provided the most consistently successful results...
  25. De Maio F, Corsi A, Roggini M, Riminucci M, Bianco P, Ippolito E. Congenital unilateral posteromedial bowing of the tibia and fibula: insights regarding pathogenesis from prenatal pathology. A case report. J Bone Joint Surg Am. 2005;87:1601-5 pubmed
  26. Fodor L, Dinu C, Fodor M, Ciuce C. Severe compartment syndrome following fibula harvesting for mandible reconstruction. Int J Oral Maxillofac Surg. 2011;40:443-5 pubmed publisher
    ..Compartment syndrome after fibula harvesting is a possibility and should be recognized as soon as possible in order to limit extensive damage to the ..
  27. Frosch K, Balcarek P, Walde T, Stürmer K. A new posterolateral approach without fibula osteotomy for the treatment of tibial plateau fractures. J Orthop Trauma. 2010;24:515-20 pubmed publisher
    ..The standard posterolateral approach with fibula osteotomy and release of the posterolateral corner is a traumatic procedure, which includes the risk of fragment ..
  28. Smolka K, Kraehenbuehl M, Eggensperger N, Hallermann W, Thoren H, Iizuka T, et al. Fibula free flap reconstruction of the mandible in cancer patients: evaluation of a combined surgical and prosthodontic treatment concept. Oral Oncol. 2008;44:571-81 pubmed
    ..Data of 56 patients, who had undergone such a systematic mandibular fibula free flap reconstruction, were retrospectively analyzed. Early complications were observed in 41...
  29. Milner B, Mercer D, Firoozbakhsh K, Larsen K, DeCoster T, Miller R. Bicortical screw fixation of distal fibula fractures with a lateral plate: an anatomic and biomechanical study of a new technique. J Foot Ankle Surg. 2007;46:341-7 pubmed
    One of the potential drawbacks of lateral plating of distal fibula fractures is less than satisfactory fixation of unicortical screws commonly placed in the distal fragment to avoid implant penetration of the ankle joint...
  30. Chhabra A, Golish S, Pannunzio M, Butler T, Bolano L, Pederson W. Treatment of chronic nonunions of the humerus with free vascularized fibula transfer: a report of thirteen cases. J Reconstr Microsurg. 2009;25:117-24 pubmed publisher
    ..13 cases of chronic nonunion of the humerus resulting from trauma or osteomyelitis treated with vascularized fibula transfer after failure of conventional treatment...
  31. Ebraheim N, Taser F, Shafiq Q, Yeasting R. Anatomical evaluation and clinical importance of the tibiofibular syndesmosis ligaments. Surg Radiol Anat. 2006;28:142-9 pubmed
    ..The average length is 36.60+/-9.51 mm. The network between the fibular notch and the distal fibula has been filled with the interosseous tibiofibular ligament whose fibers follow the laterodistal and anterior ..
  32. Harris J, Fallat L. Effects of isolated Weber B fibular fractures on the tibiotalar contact area. J Foot Ankle Surg. 2004;43:3-9 pubmed
    ..changes in contact area between the tibial plafond and the talar dome with serial displacement of the distal fibula in both a lateral and a superolateral direction. Twelve cadaver lower extremities were used...
  33. Povysil C, Kohout A, Urban K, Horak M. Differentiated adamantinoma of the fibula: a rhabdoid variant. Skeletal Radiol. 2004;33:488-92 pubmed
    A benign- appearing osteolytic lesion surrounded by a sclerotic rim was found in the upper fibula of a 25-year-old man. Based on histological features the definitive diagnosis of osteofibrous dysplasia-differentiated adamantinoma was made...
  34. Jan van Geffen G, Tielens L, Gielen M. Ultrasound-guided interscalene brachial plexus block in a child with femur fibula ulna syndrome. Paediatr Anaesth. 2006;16:330-2 pubmed
    Ultrasound-guided interscalene brachial plexus block is described in a 7-year-old child with femur fibula ulna syndrome...
  35. Erdmann D, Meade R, Lins R, McCann R, Richardson W, Levin L. Use of the microvascular free fibula transfer as a salvage reconstruction for failed anterior spine surgery due to chronic osteomyelitis. Plast Reconstr Surg. 2006;117:2438-45; discussion 2446-7 pubmed
    ..According to the literature, locations suitable for reconstruction using a microvascular free fibula graft include the cervical spine and, less frequently, the cervicothoracic, thoracic, thoracolumbar, and lumbar ..
  36. Nassr A, Khan M, Ali M, Espiritu M, Hanks S, Lee J, et al. Donor-site complications of autogenous nonvascularized fibula strut graft harvest for anterior cervical corpectomy and fusion surgery: experience with 163 consecutive cases. Spine J. 2009;9:893-8 pubmed publisher
    The fibula is a source of bone graft for reconstruction of the appendicular and axial skeleton.
  37. Boutis K, Narayanan U, Dong F, MacKenzie H, Yan H, Chew D, et al. Magnetic resonance imaging of clinically suspected Salter-Harris I fracture of the distal fibula. Injury. 2010;41:852-6 pubmed publisher
    ..injuries without radiograph-visible fractures are often diagnosed with Salter-Harris I fractures of the distal fibula (SH1DF)...
  38. Sun J, Shen Y, Li J, Zhang Z. Reconstruction of high maxillectomy defects with the fibula osteomyocutaneous flap in combination with titanium mesh or a zygomatic implant. Plast Reconstr Surg. 2011;127:150-60 pubmed publisher
    ..retrospective review examined the authors' patients who underwent reconstruction of high maxillectomy defects with fibula osteomyocutaneous flaps in combination with titanium mesh or a zygomatic implant...
  39. Sugiura H, Takahashi M, Nakanishi K, Nishida Y, Kamei Y. Pasteurized intercalary autogenous bone graft combined with vascularized fibula. Clin Orthop Relat Res. 2007;456:196-202 pubmed
    ..We reviewed pasteurized intercalary autogenous bone graft combined with a vascularized fibula graft in 15 patients with malignant bone tumors, and assessed whether this procedure would improve bone union and ..
  40. Jahangir A, Heck R. Blastomycosis: Case report of an isolated lesion in the distal fibula. Am J Orthop (Belle Mead NJ). 2010;39:E22-4 pubmed
    ..After treatment with itraconazole, the patient was symptom-free and had returned to his previous activities without pain or difficulty...
  41. Sproule J, Khalid M, O Sullivan M, McCabe J. Outcome after surgery for Maisonneuve fracture of the fibula. Injury. 2004;35:791-8 pubmed
    ..Two patients had an unsatisfactory result. Surgical intervention is recommended to maintain reduction of the fibula into the notch on the tibia, as shortening results in mandatory lateral talar displacement, predisposing to ..
  42. Willmott H, Singh B, David L. Outcome and complications of treatment of ankle diastasis with tightrope fixation. Injury. 2009;40:1204-6 pubmed publisher
    ..according to AO-ASIF principles and the tightrope applied through a plate in three cases and directly through the fibula in three cases...
  43. Iizuka T, Häfliger J, Seto I, Rahal A, Mericske Stern R, Smolka K. Oral rehabilitation after mandibular reconstruction using an osteocutaneous fibula free flap with endosseous implants. Factors affecting the functional outcome in patients with oral cancer. Clin Oral Implants Res. 2005;16:69-79 pubmed
    ..In this study, a concept combining surgical and prosthodontic treatments for mandibular fibula free flap reconstruction after tumor surgery was made based on a classification of bone defects...
  44. Pollock R, Stalley P, Lee K, Pennington D. Free vascularized fibula grafts in limb-salvage surgery. J Reconstr Microsurg. 2005;21:79-84 pubmed
    ..5 percent, with 16 patients having a good or excellent outcome. Free vascularized fibula grafts offer a reliable method of reconstruction after excision of bone tumors...
  45. O Connor J, Capo J, Tan V, Cottrell J, Manigrasso M, Bontempo N, et al. A comparison of the effects of ibuprofen and rofecoxib on rabbit fibula osteotomy healing. Acta Orthop. 2009;80:597-605 pubmed publisher
    ..We compared the effects of ibuprofen and rofecoxib on fibula osteotomy healing in rabbits to determine whether nominal, continuous inhibition of COX-2 with rofecoxib would ..
  46. Koulouvaris P, Theos C, Kottakis S, Demertzis N. A simple treatment for a 15-cm tibia bone defect: a case report of an ipsilateral vascularized fibula transfer. J Orthop Trauma. 2007;21:215-8 pubmed
    ..This report demonstrates the use of an ipsilateral vascularized fibula transfer (IVFT) in a patient with a 15 cm tibial bone defect following tumor resection...
  47. Palocaren T, Walter N, Madhuri V, Gibikote S. Schwannoma of the fibula. J Bone Joint Surg Br. 2008;90:803-5 pubmed publisher
    We describe a schwannoma located in the mid-diaphyseal region of the fibula of a 14-year-old boy. Radiologically this was an expansile, lytic, globular and trabeculated lesion...
  48. Shyam A, Song H, An H, Isaac D, Shetty G, Lee S. The effect of distraction-resisting forces on the tibia during distraction osteogenesis. J Bone Joint Surg Am. 2009;91:1671-82 pubmed publisher
    ..We investigated the nature of distraction-resisting forces by studying their correlation with these parameters...
  49. Lui T, Ip K, Chow H. Comparison of radiologic and arthroscopic diagnoses of distal tibiofibular syndesmosis disruption in acute ankle fracture. Arthroscopy. 2005;21:1370 pubmed
    ..The purpose of this study was to compare intraoperative stress radiography and ankle arthroscopy in the evaluation of distal tibiofibular syndesmosis disruption in acute ankle fracture...
  50. Hess F, Sommer C. Minimally invasive plate osteosynthesis of the distal fibula with the locking compression plate: first experience of 20 cases. J Orthop Trauma. 2011;25:110-5 pubmed publisher
    The aim of this study was to evaluate the clinical feasibility and the possible complications associated with minimally invasive plate osteosynthesis of the distal fibula.
  51. Cho T, Choi I, Chung C, Yoo W, Lee S, Lee S, et al. Isolated congenital pseudarthrosis of the fibula: clinical course and optimal treatment. J Pediatr Orthop. 2006;26:449-54 pubmed
    The purposes of this study were to determine the clinical course of isolated congenital pseudarthrosis of the fibula (ICPF) and to establish optimal treatment guidelines for this disease...
  52. Manfrini M. The role of vascularized fibula in skeletal reconstruction. Chir Organi Mov. 2003;88:137-42 pubmed
    Since March 1988, 144 oncologic bone resections have been surgically treated with vascularized fibula (VF)...
  53. Pannunzio M, Chhabra A, Golish S, Brown M, Pederson W. Free fibula transfer in the treatment of difficult distal tibia fractures. J Reconstr Microsurg. 2007;23:11-8 pubmed
    ..The authors reviewed the charts of 14 cases of distal tibia and tibial plafond fractures reconstructed with a free fibula transfer. Six cases involved a plafond defect, and the fibula was used to arthrodese the tibio-talar joint...