Download PDF
OP-Journal 2024; 40(02): 156-163
DOI: 10.1055/a-2195-4423
Fachwissen

Entnahmemorbidität beim Fibulatransplantat

Donor-Site Morbidity of Fibula Transplantation
Heilwig Fischer
,
Maya Niethard 
,
Claudius Steffen
,
Carsten Rendenbach
› Further Information
Also available at
    Permissions and Reprints

Den Goldstandard für die Rekonstruktion von Critical-Size-Defekten stellt das autologe Knochentransplantat dar. Das freie Fibulatransplantat (FFF) kann rein knöchern, mit Muskel, mit Muskel und Faszie oder mit Muskel, Faszie und bis zu 2 Hautinseln entnommen werden. Über seine Vielseitigkeit hinaus liegt der Vorteil des FFFs in einer geringen Entnahmemorbidität, wobei Wundheilungsstörungen die mit Abstand häufigste Komplikation darstellen.

Schlüsselwörter

Fibulatransplantat - Entnahmemorbidität - knöcherne Rekonstruktion

Keywords

fibula flap - donor site morbidity - bony reconstruction


Publication History

Article published online:
27 March 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Schemitsch EH. Size Matters: Defining Critical in Bone Defect Size!. J Orthop Trauma 2017; 31 (Suppl. 5) S20-S22
    CrossrefPubMedSearch in Google Scholar
  • 2 Hierner R, Täger G, Nast-Kolb D. Die vaskularisierte Knochentransplantation. Unfallchirurg 2009; 112: 405-418
    CrossrefPubMedSearch in Google Scholar
  • 3 El-Gammal TA, El-Sayed A, Kotb MM. Hypertrophy after free vascularized fibular transfer to the lower limb. Microsurgery 2002; 22: 367-370
    CrossrefPubMedSearch in Google Scholar
  • 4 Taylor GI, Miller GD, Ham FJ. The free vascularized bone graft. A clinical extension of microvascular techniques. Plast Reconstr Surg 1975; 55: 533-544
    CrossrefPubMedSearch in Google Scholar
  • 5 Shah JP, Patel SG, Singh B, Wong R. Jatin Shah’s Head and Neck Surgery and Oncology. 5. New York: Elsevier; 2019. Accessed February 27, 2024 at: https://www.elsevier.com/books/jatin-shahs-head-and-neck-surgery-and-oncology/shah/978–0-323–41518–7
    Search in Google Scholar
  • 6 Di Summa PG, de Schoulepnikoff C, Guillier D. et al. Orthoplastic limb reconstruction using free fibula flap after trauma: Outcomes from a retrospective European multicenter study. Microsurgery 2024; 44: e31054
    CrossrefPubMedSearch in Google Scholar
  • 7 Fatani B, Fatani JA, Fatani OA. Approach for Mandibular Reconstruction Using Vascularized Free Fibula Flap: A Review of the Literature. Cureus 2022; 14: e30161
    CrossrefPubMedSearch in Google Scholar
  • 8 Belt PJ, Dickinson IC, Theile DRB. Vascularised free fibular flap in bone resection and reconstruction. Br J Plast Surg 2005; 58: 425-430
    CrossrefPubMedSearch in Google Scholar
  • 9 Mericli AF, Boukovalas S, Roubaud MS. et al. Restoration of Spinopelvic Continuity with the Free Fibula Flap after Limb-Sparing Oncologic Resection Is Associated with a High Union Rate and Superior Functional Outcomes. Plast Reconstr Surg 2020; 146: 650-662
    CrossrefPubMedSearch in Google Scholar
  • 10 Winters HAH, Kraak J, Oosterhuis JWA. et al. Spinal Reconstruction with Free Vascularised Bone Grafts; Approaches and Selection of Acceptor Vessels. Scand J Surg 2013; 102: 42-48
    CrossrefPubMedSearch in Google Scholar
  • 11 Asmus A, Kim S, Höpfner JI. et al. Freie Fibulatransplantation zur knöchernen Rekonstruktion an der oberen Extremität. Teil 1 – Operative Technik. Handchirurgie Scan 2018; 7: 215-229
    Thieme ConnectPubMedSearch in Google Scholar
  • 12 Succo G, Berrone M, Battiston B. et al. Step-by-step surgical technique for mandibular reconstruction with fibular free flap: application of digital technology in virtual surgical planning. Eur Arch Otorhinolaryngol 2015; 272: 1491-1501
    CrossrefPubMedSearch in Google Scholar
  • 13 Schepers RH, Raghoebar GM, Vissink A. et al. Accuracy of fibula reconstruction using patient-specific CAD/CAM reconstruction plates and dental implants: A new modality for functional reconstruction of mandibular defects. J Craniomaxillofac Surg 2015; 43: 649-657
    CrossrefPubMedSearch in Google Scholar
  • 14 Taqi M, Llewellyn CM, Estefan M. Fibula Tissue Transfer. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. Accessed February 27, 2024 at: https://www.ncbi.nlm.nih.gov/books/NBK563283/
    Search in Google Scholar
  • 15 Anthony JP, Rawnsley JD, Benhaim P. et al. Donor leg morbidity and function after fibula free flap mandible reconstruction. Plast Reconstr Surg 1995; 96: 146-152
    CrossrefPubMedSearch in Google Scholar
  • 16 Sieg P, Taner C, Hakim SG. et al. Long-term evaluation of donor site morbidity after free fibula transfer. Br J Oral Maxillofac Surg 2010; 48: 267-270
    CrossrefPubMedSearch in Google Scholar
  • 17 Bayne CO, Bishop AT, Shin AY. Technique of Harvest of the Free Vascularized Fibula. Tech Hand Up Extrem Surg 2014; 18: 181-188
    CrossrefPubMedSearch in Google Scholar
  • 18 Verhelst PJ, Dons F, Van Bever PJ. et al. Fibula Free Flap in Head and Neck Reconstruction: Identifying Risk Factors for Flap Failure and Analysis of Postoperative Complications in a Low Volume Setting. Craniomaxillofac Trauma Reconstr 2019; 12: 183-192
    CrossrefPubMedSearch in Google Scholar
  • 19 Han CS, Wood MB, Bishop AT. et al. Vascularized bone transfer. J Bone Joint Surg Am 1992; 74: 1441-1449
    CrossrefPubMedSearch in Google Scholar
  • 20 Attia S, Diefenbach J, Schmermund D. et al. Donor-Site Morbidity after Fibula Transplantation in Head and Neck Tumor Patients: A Split-Leg Retrospective Study with Focus on Leg Stability and Quality of Life. Cancers (Basel) 2020; 12: 2217
    CrossrefPubMedSearch in Google Scholar
  • 21 Momoh AO, Yu P, Skoracki RJ. et al. A Prospective Cohort Study of Fibula Free Flap Donor-Site Morbidity in 157 Consecutive Patients. Plast Reconstr Surg 2011; 128: 714-720
    CrossrefPubMedSearch in Google Scholar
  • 22 Sonnabend E. Entnahmemorbidität mikrovaskulärer Fibulatransplantate [Dissertation]. Berlin: Charité – Universitätsmedizin Berlin; 2019
    Search in Google Scholar
  • 23 Ou Q, Wu P, Zhou Z. et al. Complication of osteo reconstruction by utilizing free vascularized fibular bone graft. BMC Surgery 2020; 20: 216
    CrossrefPubMedSearch in Google Scholar
  • 24 Hakim SG, Tehrany AS, Wendlandt R. et al. The impact of harvest length and detachment of the interosseous membrane on donor-site morbidity following free fibula flap surgery-a biomechanical experimental study. J Craniomaxillofac Surg 2018; 46: 1939-1942
    CrossrefPubMedSearch in Google Scholar
  • 25 Pacelli LL, Gillard J, McLoughlin SW. et al. A Biomechanical Analysis of Donor-Site Ankle Instability Following Free Fibular Graft Harvest. J Bone Joint Surg Am 2003; 85: 597-603
    CrossrefPubMedSearch in Google Scholar
  • 26 Rendenbach C, Kohlmeier C, Suling A. et al. Prospective biomechanical analysis of donor-site morbidity after fibula free flap. J Craniomaxillofac Surg 2016; 44: 155-159
    CrossrefPubMedSearch in Google Scholar
  • 27 Minami A, Kasashima T, Iwasaki N. et al. Vascularised fibular grafts. An experience of 102 patients. J Bone Joint Surg Br 2000; 82: 1022-1025
    CrossrefPubMedSearch in Google Scholar
  • 28 Crosby MA, Martin JW, Robb GL. et al. Pediatric mandibular reconstruction using a vascularized fibula flap. Head Neck 2008; 30: 311-319
    CrossrefPubMedSearch in Google Scholar
  • 29 Shahzad F. Pediatric Mandible Reconstruction: Controversies and Considerations. Plast Reconstr Surg Glob Open 2020; 8: e3285
    CrossrefPubMedSearch in Google Scholar
  • 30 Nathan SS, Hung-Yi L, Disa JJ. et al. Ankle Instability After Vascularized Fibular Harvest for Tumor Reconstruction. Ann Surg Oncol 2005; 12: 57-64
    CrossrefPubMedSearch in Google Scholar
  • 31 Barla M, Polirsztok E, Peltié E. et al. Free vascularised fibular flap harvesting in children: An analysis of donor-site morbidity. Orthop Traumatol Surg Res 2017; 103: 1109-1113
    CrossrefPubMedSearch in Google Scholar
  • 32 Shammas RL, Avashia YJ, Farjat AE. et al. Vascularized Fibula-Based Physis Transfer: A Follow-Up Study of Longitudinal Bone Growth and Complications. Plast Reconstr Surg Glob Open 2017; 5: e1352
    CrossrefPubMedSearch in Google Scholar
  • 33 Taqi M, Raju S. Fibula Free Flaps. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. Accessed February 27, 2024 at: https://www.ncbi.nlm.nih.gov/books/NBK564337/
    Search in Google Scholar
  • 34 Catalá-Lehnen P, Rendenbach C, Heiland M. et al. Long-Term Donor-Site Morbidity After Microsurgical Fibular Graft: Is There a Difference Between the Medial Approach and the Lateral Approach?. J Oral Maxillofac Surg 2012; 70: 2198-2204
    CrossrefPubMedSearch in Google Scholar
  • 35 Hatchell AC, Schrag CH, Temple-Oberle CF. et al. Patient-Reported Outcomes after Fibula Free Flap Harvest: A Pilot Study. Plast Reconstr Surg 2021; 148: 1007e-1011e
    CrossrefPubMedSearch in Google Scholar
  • 36 Hidalgo DA, Pusic AL. Free-Flap Mandibular Reconstruction: A 10-Year Follow-Up Study. Plast Reconstr Surg 2002; 110: 438-449
    CrossrefPubMedSearch in Google Scholar