What is a fibular graft?
Figure 1: During free vascularized fibular graft surgery, a section of fibular bone with attached artery and veins is harvested and transferred to the femoral head, which has been cored out to remove necrotic bone. The vessels in the fibula graft are then microsurgically anastamosed to donor vessels at the hip.
Why is fibula used for bone graft?
The fibula is a tubular bone that has a suitable length, geometrical shape and mechanical strength and is considered to be the best donor bone for large bone defects. Free vascularized fibular grafts achieve higher union rate than non-vascularized fibular grafts in the reconstruction of long bone defects.
How long does a leg bone graft take to heal?
After the Procedure Your recovery may take 2 weeks to 3 months. The bone graft itself will take up to 3 months or longer to heal. You may be told to avoid extreme exercise for up to 6 months. Ask your provider or nurse what you can and cannot safely do.
How do you graft a fibula?
The fibula were harvested by two separate incisions, 1 cm each at proximal and distal extent of proposed donor site for taking out of graft after elevating the periosteum circumferentially using a periosteum stripper.
How long does it take to recover from a bone graft?
The time needed for the recovery will depend on the size of the bone graft or the defect being treated. Your recovery may require two weeks to 3 months but the bone graft itself will require three months to heal.
Does the fibula regenerate?
Fibula regenerate in a 7-year-old boy 2 months after fibula resection (10 cm) used for autogenous bone transplantation. Hypertrophic bone formation can be seen at the distal regeneration side with initial signs of early gap fusion.
What happens when fibula is removed?
In the long term removing the fibular bone should produce no problems in walking. You will be on bed rest for a day or two after surgery. Soon after this hopefully you will be sitting out in a chair. With the help of physiotherapists you will start to walk at the end of the first week.
Is a bone graft major surgery?
Major bone grafting procedures are typically performed in a hospital operating room, and require a hospital stay. Minor bone grafting is usually performed when the patient does not have enough bone structure to support and stabilize an implant.
Is bone graft surgery painful?
Most patients who receive bone grafts are completely pain-free and do just fine as long as they take the antibiotics.
How painful is a bone graft?
Most patients who receive bone grafts are completely pain-free and do just fine as long as they take the antibiotics. Your dentist also has to wait for the bone graft to fuse with the natural bones that are already in your mouth.
What is the success rate of bone grafts?
Composite bone grafts have 99.6% survival rate and 66.06% success rate. Allografts have 90.9% survival rate and 82.8% success rate.
Can the fibula bone be removed?
The fibular bone runs on the outside of the leg from the knee joint to the ankle joint. It is a small thin bone that can be entirely removed without affecting your ability to bear weight.