Utilization of the Pedicled and Free Fibula Flap for Ankle Arthrodesis
Background:. Ankle arthrodesis has become a common surgical procedure for individuals with end-stage ankle arthritis, chronic infection, and bony misalignment. Although arthrodesis is typically managed with arthrodesis in situ or realignment, reconstruction may be utilized for patients with more com...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2022-11-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004670 |
| _version_ | 1811305029843288064 |
|---|---|
| author | Rohun Gupta, BA Mitchell Pfennig, BS James Gannon, BS Devin Young, BA Monik Gupta, BA Sean Chaiyasate Gretchen Stieg, MD Brian G. Kissel, DPM, MBA, FACFAS Erik C. Kissel, DPM, FACFAS Paul Fortin, MD Kongkrit Chaiyasate, MD |
| author_facet | Rohun Gupta, BA Mitchell Pfennig, BS James Gannon, BS Devin Young, BA Monik Gupta, BA Sean Chaiyasate Gretchen Stieg, MD Brian G. Kissel, DPM, MBA, FACFAS Erik C. Kissel, DPM, FACFAS Paul Fortin, MD Kongkrit Chaiyasate, MD |
| author_sort | Rohun Gupta, BA |
| collection | DOAJ |
| description | Background:. Ankle arthrodesis has become a common surgical procedure for individuals with end-stage ankle arthritis, chronic infection, and bony misalignment. Although arthrodesis is typically managed with arthrodesis in situ or realignment, reconstruction may be utilized for patients with more complicated cases that involve metatarsal defects. Our institution utilizes both the pedicled and free fibula flaps for surgical management pertaining to ankle arthrodesis. Our study looks to evaluate the work of a single plastic surgeon and identify patient postoperative outcomes.
Methods:. A retrospective chart review was conducted at Beaumont Health System, Royal Oak, for patients who underwent ankle arthrodesis with a pedicled fibula flap for nonunion or avascular necrosis of the talus between the years 2014 and 2022. Demographic data, operative details, complications, medical comorbidities, and patient outcomes were retrospectively gathered and analyzed.
Results:. A total of six patients were isolated, with three patients undergoing a free fibula approach and three patients undergoing the pedicled fibula approach. All patients were found to have tolerated the procedure well and had no intraoperative complications. In addition, all patients had clinically viable flaps and were satisfied with their surgical result.
Conclusions:. Both free and pedicled free fibula flaps may be used effectively in the management of ankle arthrodesis in patients who have failed prior therapy. In our study, free fibula flaps were utilized in a medial approach, while the pedicled fibula flap was utilized in a lateral approach. With the right expertise and patient population, the free and pedicled fibula flaps can be highly successful in the repair of ankle defects. |
| first_indexed | 2024-04-13T08:19:21Z |
| format | Article |
| id | doaj.art-9d471929d539410d92362e772b5fb4dd |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-13T08:19:21Z |
| publishDate | 2022-11-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-9d471929d539410d92362e772b5fb4dd2022-12-22T02:54:42ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-11-011011e467010.1097/GOX.0000000000004670202211000-00052Utilization of the Pedicled and Free Fibula Flap for Ankle ArthrodesisRohun Gupta, BA0Mitchell Pfennig, BS1James Gannon, BS2Devin Young, BA3Monik Gupta, BA4Sean Chaiyasate5Gretchen Stieg, MD6Brian G. Kissel, DPM, MBA, FACFAS7Erik C. Kissel, DPM, FACFAS8Paul Fortin, MD9Kongkrit Chaiyasate, MD10From the * Oakland University William Beaumont School of Medicine, Rochester, Mich.From the * Oakland University William Beaumont School of Medicine, Rochester, Mich.From the * Oakland University William Beaumont School of Medicine, Rochester, Mich.From the * Oakland University William Beaumont School of Medicine, Rochester, Mich.† The University of Toledo Health Science Campus, Toledo, Ohio.‡ International Academy, Bloomfield Hills, Mich.§ Department of Plastic and Reconstructive Surgery, Wayne State University, Detroit, Mich.From the * Oakland University William Beaumont School of Medicine, Rochester, Mich.From the * Oakland University William Beaumont School of Medicine, Rochester, Mich.From the * Oakland University William Beaumont School of Medicine, Rochester, Mich.From the * Oakland University William Beaumont School of Medicine, Rochester, Mich.Background:. Ankle arthrodesis has become a common surgical procedure for individuals with end-stage ankle arthritis, chronic infection, and bony misalignment. Although arthrodesis is typically managed with arthrodesis in situ or realignment, reconstruction may be utilized for patients with more complicated cases that involve metatarsal defects. Our institution utilizes both the pedicled and free fibula flaps for surgical management pertaining to ankle arthrodesis. Our study looks to evaluate the work of a single plastic surgeon and identify patient postoperative outcomes. Methods:. A retrospective chart review was conducted at Beaumont Health System, Royal Oak, for patients who underwent ankle arthrodesis with a pedicled fibula flap for nonunion or avascular necrosis of the talus between the years 2014 and 2022. Demographic data, operative details, complications, medical comorbidities, and patient outcomes were retrospectively gathered and analyzed. Results:. A total of six patients were isolated, with three patients undergoing a free fibula approach and three patients undergoing the pedicled fibula approach. All patients were found to have tolerated the procedure well and had no intraoperative complications. In addition, all patients had clinically viable flaps and were satisfied with their surgical result. Conclusions:. Both free and pedicled free fibula flaps may be used effectively in the management of ankle arthrodesis in patients who have failed prior therapy. In our study, free fibula flaps were utilized in a medial approach, while the pedicled fibula flap was utilized in a lateral approach. With the right expertise and patient population, the free and pedicled fibula flaps can be highly successful in the repair of ankle defects.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004670 |
| spellingShingle | Rohun Gupta, BA Mitchell Pfennig, BS James Gannon, BS Devin Young, BA Monik Gupta, BA Sean Chaiyasate Gretchen Stieg, MD Brian G. Kissel, DPM, MBA, FACFAS Erik C. Kissel, DPM, FACFAS Paul Fortin, MD Kongkrit Chaiyasate, MD Utilization of the Pedicled and Free Fibula Flap for Ankle Arthrodesis Plastic and Reconstructive Surgery, Global Open |
| title | Utilization of the Pedicled and Free Fibula Flap for Ankle Arthrodesis |
| title_full | Utilization of the Pedicled and Free Fibula Flap for Ankle Arthrodesis |
| title_fullStr | Utilization of the Pedicled and Free Fibula Flap for Ankle Arthrodesis |
| title_full_unstemmed | Utilization of the Pedicled and Free Fibula Flap for Ankle Arthrodesis |
| title_short | Utilization of the Pedicled and Free Fibula Flap for Ankle Arthrodesis |
| title_sort | utilization of the pedicled and free fibula flap for ankle arthrodesis |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004670 |
| work_keys_str_mv | AT rohunguptaba utilizationofthepedicledandfreefibulaflapforanklearthrodesis AT mitchellpfennigbs utilizationofthepedicledandfreefibulaflapforanklearthrodesis AT jamesgannonbs utilizationofthepedicledandfreefibulaflapforanklearthrodesis AT devinyoungba utilizationofthepedicledandfreefibulaflapforanklearthrodesis AT monikguptaba utilizationofthepedicledandfreefibulaflapforanklearthrodesis AT seanchaiyasate utilizationofthepedicledandfreefibulaflapforanklearthrodesis AT gretchenstiegmd utilizationofthepedicledandfreefibulaflapforanklearthrodesis AT briangkisseldpmmbafacfas utilizationofthepedicledandfreefibulaflapforanklearthrodesis AT erikckisseldpmfacfas utilizationofthepedicledandfreefibulaflapforanklearthrodesis AT paulfortinmd utilizationofthepedicledandfreefibulaflapforanklearthrodesis AT kongkritchaiyasatemd utilizationofthepedicledandfreefibulaflapforanklearthrodesis |