Free Vacularized Fibula Flap for Septic Bone Defects of the Lower Limb.

Autores de IIS La Fe

• Mª Nieves Vanaclocha Saiz

  Autor

• Alberto Sanchez Garcia

  Autor

• Alessandro Thione

  Autor

• Alberto Pérez García

  Autor

Participantes ajenos a IIS La Fe

• Copete González I

Grupos

• Dermatología y Regeneración Tisular

  

  Leader

  Rafael Botella Estrada

Abstract

Free fibula flap (FFF) is one of the reconstructive techniques to treat bone defects, although in septic conditions there are some limitations that have made it less popular. We present our experience with FFF for the reconstruction of lower limb infectious bone defects. From September 2015 to January 2020, 10 patients underwent reconstruction with FFF without rigid internal fixation of septic bone defects of the lower extremities. Demographic, clinical, and operative data were retrospectively collected. All the flaps survived and consolidated. The only major complication was a stress fracture of a fibula that required osteosynthesis. Median time to consolidation and full weight-bearing was 2.5 and 9.8 months, respectively. Bipedal gating was achieved in all the patients, 7 of them without walking aids. Despite it has some limitations and technical difficulties, in our experience FFF is an effective and reliable option in the reconstruction of septic bone defects of the lower limb.

Keywords

• bone defect, free fibula flap, lower extremity, osteomyelitis