Proximal Fibula

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Robert S Bell - One of the best experts on this subject based on the ideXlab platform.

  • giant cell tumor of the Proximal Fibula surgical management
    Journal of Surgical Oncology, 1996
    Co-Authors: Hosein Faezypour, Aileen M Davis, Anthony M Griffin, Robert S Bell
    Abstract:

    Five patients with giant cell tumor of the Proximal Fibula were treated with intralesional excision of the lesion, preservation of the peroneal nerve, and reconstruction of the lateral collateral ligament. At minimum 24-month follow-up there have been no local recurrences. Four patients exhibit normal function of the peroneal nerve and one has grade 4 strength of the muscles innervated by this nerve. No patient demonstrated varus instability. Marginal excision with nerve preservation and reconstruction of the ligament is a worthwhile procedure for treatment of this relatively uncommon lesion. © 1996 Wiley-Liss, Inc.

Gianmaria Federico Romano - One of the best experts on this subject based on the ideXlab platform.

  • epiphyseal transplant harvesting technique of the Proximal Fibula based on the anterior tibial artery
    Microsurgery, 2005
    Co-Authors: Marco Innocenti, Luca Delcroix, Gianmaria Federico Romano
    Abstract:

    Epiphyseal transplants in children were introduced into clinical practice about 20 years ago. 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 distal radius. Provided that an adequate blood supply both to the physis and to the diaphysis must be restored in order to obtain acceptable axial growth of the transferred Fibula and a bone fusion at the osteotomy site, the choice of feeding pedicle is still a controversial issue. Our contribution involves a homogeneous series of 24 patients under 11 years of age who had skeletal reconstruction in the upper limb by means of a vascularized transfer of the Proximal Fibula based on the anterior tibial artery. The aim of the present paper is to describe in detail the harvesting technique which has been partially modified and gradually refined in our 10-year experience.

Mustafa Basbozkurt - One of the best experts on this subject based on the ideXlab platform.

  • the impact of Proximal Fibula fractures in the prognosis of tibial plateau fractures a novel classification
    Knee Surgery Sports Traumatology Arthroscopy, 2005
    Co-Authors: Murat Bozkurt, Sacit Turanli, Mahmut Nedim Doral, Seyfettin Karaca, Metin Dogan, Hakan şesen, Mustafa Basbozkurt
    Abstract:

    Fifty-five patients who presented with the complaint of tibia plateau fractures between January 1998 and November 2001 were retrospectively evaluated. The evaluation was based on their treatment modality. Twenty-five conservatively-treated patients (group 1) and 30 surgically-treated patients (group 2) were evaluated. In group 1, seven patients with Proximal Fibula fractures had lateral hamstring tightness. Five out of these seven patients had concomitant lateral knee pain. Similarly, nine patients with Proximal Fibula fractures in group 2 had lateral hamstring tightness, and seven patients in the same group suffered from lateral knee pain. The patients with no Fibula Proximal fracture in both groups had no hamstring tightness or lateral knee pain. The Proximal Fibula in the knee joint and its anatomical structures are of utmost importance for the anatomical integrity of the knee and its normal functions. The Fibula has rich anatomical relations, some of which are important structures of the knee. These anatomical structures and the Fibula provide stability of the knee joint and its functions as well as being an important mechanical support to the knee joint. Therefore, the knee joint will receive the negative effects from the pathologies of the bone or soft tissue that may occur in Fibula fractures.

Jie Xu - One of the best experts on this subject based on the ideXlab platform.

Dachuan Xu - One of the best experts on this subject based on the ideXlab platform.

  • reconstruction of the distal ulnar epiphysis with vascularized Proximal Fibula including epiphysis in children after osteochondroma resection report of two cases
    Plastic and Reconstructive Surgery, 2013
    Co-Authors: Yunfa Yang, Guangming Zhang, Zhonghe Xu, Dachuan Xu
    Abstract:

    BACKGROUND: Osteochondromas, especially multiple hereditary osteochondromas, usually cause various deformities of the joints. The authors sometimes find ulnar shortening and acquired wrist varus deformity in distal ulnar osteochondromas and even radial head dislocation resulting in ulnar shortening. In this study, the authors present the clinical outcomes of distal ulnar epiphysis reconstruction in two children using vascularized Proximal Fibula including the epiphysis after osteochondroma resection. METHODS: The authors used vascularized Proximal Fibula including the epiphysis as a substitute to reconstruct the distal ulnar epiphysis after osteochondroma resection and investigated the clinical outcome in two patients (aged 4 and 9 years). RESULTS: The wrist deformity was corrected successfully for both cases. Bone union between Fibular grafts and hosts was found 2 months postoperatively. The reconstructed distal ulna and contralateral limbs were growing almost simultaneously. The morphology and function were also satisfactory at 1- and 8-year follow-up, respectively. CONCLUSIONS: It is possible to reconstruct the distal ulna after osteochondroma resection and simultaneously keep the ulna in longitudinal growth by using vascularized Proximal Fibula including the epiphysis in children. However, the growth plate in the reconstructed distal ulnar epiphysis might be prematurely closed approximately 8 years after reconstruction. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.