Tibial stress fracture as a complication of free-fibula vascularised graft for mandibular reconstruction.
The free vascularised fibula graft is used for a variety of reconstructive procedures and is frequently associated with donor site morbidity. Non-traumatic stress fracture to the tibia following a vascularised free-fibula graft is an uncommon but important complication. The diagnosis may be missed if radiological "stress views" of a possible fracture site are not performed, which may result in its underreporting. The authors report a case in which the aetiology, diagnosis and management recommendations are presented for discussion.
Pacifico
M D
MD
The RAFT Institute of Plastic Surgery, Mount Vernon Hospital, Northwood, Middlesex HA6 2RN, UK. pacificom@raft.ac.uk
Floyd
D
D
Wood
S H
SH
D016025:Bone Transplantation / Q000009:adverse effects*; D005360:Fibula / Q000637:transplantation*; D015775:Fractures, Stress / Q000209:etiology*; D006801:Humans; D008297:Male; D008339:Mandibular Neoplasms / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D019651:Plastic Surgery Procedures / Q000379:methods; D014062:Tongue Neoplasms / Q000601:surgery*; D016896:Treatment Outcome