The Pedicled Fibula Flap for Lower Limb Reconstruction

Marieke P Noorlander-Borgdorff; Georgios F Giannakópoulos; Henri Ah Winters; Matthijs Botman

doi:10.5005/jp-journals-10080-1600

The Pedicled Fibula Flap for Lower Limb Reconstruction

Strategies Trauma Limb Reconstr. 2023 Sep-Dec;18(3):186-193. doi: 10.5005/jp-journals-10080-1600.

Authors

Marieke P Noorlander-Borgdorff¹, Georgios F Giannakópoulos², Henri Ah Winters¹, Matthijs Botman¹

Affiliations

¹ Department of Plastic, Reconstructive, and Hand Surgery, Amsterdam University Medical Centers, Amsterdam, Netherlands; Amsterdam Movement Sciences Research Institute, Amsterdam, Netherlands.
² Department of Surgery, Trauma Unit, Amsterdam University Medical Centers, Amsterdam, Netherlands.

Abstract

The pedicled fibula flap is a reliable technique to treat large defects in the tibia. Despite increasing evidence of its efficacy and good long-term outcomes, a knowledge gap exists in its indications and technique. This instructional article presents a comprehensive overview of the indications, pre-operative planning, step-by-step surgery, and subsequent post-operative management.

How to cite this article: Noorlander-Borgdorff MP, Giannakópoulos GF, Winters HAH, et al. The Pedicled Fibula Flap for Lower Limb Reconstruction. Strategies Trauma Limb Reconstr 2023;18(3):186-193.

Keywords: Critical bone defect; Fibula flap; Limb reconstruction; Orthoplastic; Pedicled flap; Skin island; Surgical technique; Tibia; Vascularised bone flap.