Surgical Anatomy for Fibular Free Flap Focusing on the Inferior Tibiofibular Syndesmotic System: A Cadaveric Study and Case Series of 3-Dimensional Prefabricate Cutting Guided Fibular Free Flap

dc.contributor.authorOngsiriporn M.
dc.contributor.authorChaikangwan I.
dc.contributor.authorPiyaman P.
dc.contributor.authorKhongchu N.
dc.contributor.authorAkaranuchat N.
dc.contributor.authorYodrabum N.
dc.contributor.otherMahidol University
dc.date.accessioned2023-06-18T17:50:47Z
dc.date.available2023-06-18T17:50:47Z
dc.date.issued2022-05-01
dc.description.abstractAbstractEven though there are many options for mandibular reconstruction, a free fibula osteocutaneous flap is regarded as the most frequently used flap. Despite having some previous anatomical studies pertaining to syndesmotic ligaments, there is no study pointing out that surgical landmarks can be used while free fibula osteocutaneous flaps are performed and used for surgical landmarks in order to avoid syndesmotic ligament injuries. Therefore, this study investigates the characteristics and relationship between inferior syndesmotic ligaments and fibula in cadavers. A total of 140 legs were obtained from 83 embalmed cadavers as well as other soft ones, which were donated for the inferior tibiofibular syndes- motic system's study. Detailed dissection and measurement of each ligament's distance to the end of the fibula and lateral malleolus were performed. Distances from the distal end of the fibula to anterior inferior tibiofibular ligament, posterior inferior tibiofibular, and inferior transverse ligament, and the lower border of the interosseous membrane are 3.5 ± 0.4 cm, 3.4 ± 0.5 cm, 1.9 ± 0.4 cm, and 5 ± 1 cm (mean ± SD), respectively. Distance from the most distal part of the fibula to lateral malleolus is 1.6 ± 0.4 cm (mean ± SD). Thus, the remaining distance of the fibular should be left at least 4 cm without disrupting the syndesmotic ligament complex. It is argued that the lateral malleolus can be applied as a surgical landmark while harvesting fibula.
dc.identifier.citationJournal of Craniofacial Surgery Vol.33 No.3 (2022) , 951-955
dc.identifier.doi10.1097/SCS.0000000000008323
dc.identifier.eissn15363732
dc.identifier.issn10492275
dc.identifier.pmid35727650
dc.identifier.scopus2-s2.0-85131293161
dc.identifier.urihttps://repository.li.mahidol.ac.th/handle/20.500.14594/85890
dc.rights.holderSCOPUS
dc.subjectMedicine
dc.titleSurgical Anatomy for Fibular Free Flap Focusing on the Inferior Tibiofibular Syndesmotic System: A Cadaveric Study and Case Series of 3-Dimensional Prefabricate Cutting Guided Fibular Free Flap
dc.typeArticle
mu.datasource.scopushttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85131293161&origin=inward
oaire.citation.endPage955
oaire.citation.issue3
oaire.citation.startPage951
oaire.citation.titleJournal of Craniofacial Surgery
oaire.citation.volume33
oairecerif.author.affiliationSiriraj Hospital
oairecerif.author.affiliationMahidol University

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