title: Anatomical examination of the fibula: digital imaging study for osseointegrated implant installation.
abstract: BACKGROUND
  Free vascularized fibular flaps are commonly used in jaw reconstruction. CT scan images of the fibula are used in digital planning of jaw reconstruction. In order to fully describe the anatomy of the fibula, an imaging study of the fibula was undertaken. The purpose of the present study was to examine the anatomical structure of the fibula using patient CT images.
  
  
  METHODS
  The CT scan images of fibulae of 20 patients were used for the study. The results of the analysis showed that, of the widths, the anterior border of the fibula to the posterior surface was the largest dimension. The shape type analysis showed that the triangular type was most prominent near the head of the fibula, and the irregular type was most prominent towards the lateral malleolus.
  
  
  RESULTS
  The results of height and width related to the long axis of implant installation showed that the width of the central section was the largest. With respect to the length of available bone volume, the length near the lateral malleolus was larger than that near the head of the fibula. The results showed that there were significant differences in size between male and female fibulae.
  
  
  CONCLUSIONS
  The present study provides a CT scan based analysis of the anatomy of the fibula. Important information for the optimal site of installation of osseointegrated implants in fibular free flap reconstructions is also provided.
authors: Department of Developmental and Regenerative Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan. ideaki@tky.ndu.ac.jp.
authors: Yoshiaki
authors: Y
authors: Ide
authors: Department of Anatomy, Tokyo Dental College, 2-9-18 Misaki-cho, Chiyoda-ku, Tokyo, 101-0061, Japan. matsuna@tdc.ac.jp.
authors: Satoru
authors: S
authors: Matsunaga
authors: Division of Otolaryngology Head and Neck Surgery, Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, 1E4 WMC, 8440-112 Street, Edmonton, Alberta, T6G 2B7, Canada. Jeffrey.Harris@albertahealthservices.ca.|Institute for Reconstructive Sciences in Medicine (iRSM), Alberta Health Services/Covenant Health/University of Alberta, 1W-02, 16940-87 Avenue, Edmonton, Alberta, T5R 4H5, Canada. Jeffrey.Harris@albertahealthservices.ca.
authors: Jeffrey
authors: J
authors: Harris
authors: Division of Otolaryngology Head and Neck Surgery, Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, 1E4 WMC, 8440-112 Street, Edmonton, Alberta, T6G 2B7, Canada. Dan.O'Connell@albertahealthservices.ca.|Institute for Reconstructive Sciences in Medicine (iRSM), Alberta Health Services/Covenant Health/University of Alberta, 1W-02, 16940-87 Avenue, Edmonton, Alberta, T5R 4H5, Canada. Dan.O'Connell@albertahealthservices.ca.
authors: Daniel
authors: D
authors: O' Connell
authors: Division of Otolaryngology Head and Neck Surgery, Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, 1E4 WMC, 8440-112 Street, Edmonton, Alberta, T6G 2B7, Canada. hadi.seikaly@albertahealthservices.ca.|Institute for Reconstructive Sciences in Medicine (iRSM), Alberta Health Services/Covenant Health/University of Alberta, 1W-02, 16940-87 Avenue, Edmonton, Alberta, T5R 4H5, Canada. hadi.seikaly@albertahealthservices.ca.
authors: Hadi
authors: H
authors: Seikaly
authors: Division of Otolaryngology Head and Neck Surgery, Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, 1E4 WMC, 8440-112 Street, Edmonton, Alberta, T6G 2B7, Canada. johan.wolfaardt@albertahealthservices.ca.|Institute for Reconstructive Sciences in Medicine (iRSM), Alberta Health Services/Covenant Health/University of Alberta, 1W-02, 16940-87 Avenue, Edmonton, Alberta, T5R 4H5, Canada. johan.wolfaardt@albertahealthservices.ca.
authors: Johan
authors: J
authors: Wolfaardt
mesh_terms: D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D003758:Dental Implantation, Endosseous / Q000379:methods*; D005260:Female; D005360:Fibula / Q000033:anatomy & histology* / Q000098:blood supply; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D008297:Male; D008334:Mandible / Q000601:surgery*; D063175:Mandibular Reconstruction / Q000379:methods*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D063986:Vascularized Composite Allotransplantation / Q000379:methods*; D055815:Young Adult
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