title: [Versatility of the microvascular fibular flap in limb reconstruction].
abstract: BACKGROUND
  The structural characteristics of the fibula, strength, shape, length and limited donor site morbidity make it more suitable for reconstructing long bone defects larger than 6cm in the limbs.
  
  
  METHODS
  A descriptive study was conducted using a non-probabilistic sample of consecutive cases undergoing on limb reconstruction with free fibular flap in the period from January 2010 to January 2015 in the Mexican Institute of Social Security No. 21, Monterrey Nuevo Leon.
  
  
  RESULTS
  The mean age of the ten cases included was 25 years, with the most common diagnosis being trauma in 4 patients, osteosarcoma in 2, followed by one congenital pseudoarthrosis of the tibia, one non-union fracture, and one gunshot wounds, respectively. The most common location was tibia, followed by humerus, radius, ulna and femur.
  
  
  CONCLUSIONS
  This study has shown that the fibular free flap can be an excellent option for management of long bone defects, regardless of cause of the injury. One or more skin islands can be added for coverage in exposure of deep tissue and osteosynthesis material, thus preserving the septocutaneous perforators.
authors.affiliation: Unidad Médica de Alta Especialidad No. 21, Departamento de Cirugía Plástica y Reconstructiva, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México. Electronic address: drdelaparra@yahoo.com.mx.
authors.forename: Miguel
authors.initials: M
authors.lastname: de la Parra-Márquez
authors.affiliation: Unidad Médica de Alta Especialidad No. 21, Departamento de Cirugía Plástica y Reconstructiva, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México.
authors.forename: Oscar
authors.initials: O
authors.lastname: Zorola-Tellez
authors.affiliation: Facultad de Medicina, Universidad de Monterrey, Investigación, Monterrey, Nuevo León, México.
authors.forename: Silvia
authors.initials: S
authors.lastname: Cárdenas-Rodríguez
authors.affiliation: Unidad Médica de Alta Especialidad No. 21, Departamento de Cirugía Plástica y Reconstructiva, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México.
authors.forename: Jesús María
authors.initials: JM
authors.lastname: Rangel-Flores
authors.affiliation: Unidad Médica de Alta Especialidad No. 21, Departamento de Cirugía Plástica y Reconstructiva, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Sánchez-Terrones
mesh_terms: D000328:Adult; D001132:Arm / Q000000981:diagnostic imaging / Q000601:surgery*; D001134:Arm Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D001859:Bone Neoplasms / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D005360:Fibula / Q000601:surgery*; D058752:Free Tissue Flaps / Q000098:blood supply*; D006801:Humans; D007866:Leg / Q000000981:diagnostic imaging / Q000601:surgery*; D007869:Leg Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D023821:Limb Salvage / Q000379:methods*; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D012516:Osteosarcoma / Q000601:surgery; D012189:Retrospective Studies
keywords: Colgajos libres; Fibula; Free flaps; Microcirugía; Microsurgery; Peroné