Traumatic Fibular Loss Managed with a Free Vascularized Fibular Graft: A Case Report. Issue 1 (January 2022)

• Record Type: Journal Article
• Authors: Hartnett, Davis A.; Milner, John D.; Salameh, Motasem; Got, Christopher J.; Blankenhorn, Brad D.
• Is Part Of: JBJS case connector. Volume 12:Issue 1(2022)
• Publication Date: 2022-01
• Subjects: young adult -- male -- trauma -- foot and ankle -- ankle fracture -- fibula -- free vascularized -- fibular graft -- lateral malleolus; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.21.00792
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 25-year-old man involved in a jet skiing accident experienced a traumatic excision of his distal fibula in conjunction with other lower extremity injuries. He subsequently underwent a reconstruction of his lateral malleolus using an ipsilateral free vascularized fibular graft (FVFG) from his proximal fibular shaft, resulting in a preserved and stabilized ankle joint at 1 year. Conclusion: Traumatic distal fibular excision is a rare injury that can be successfully managed using an FVFG, with fusion of the distal syndesmosis and a symmetric ankle mortise observed at the 1-year follow-up.