Related Experiment Video
Updated: Jun 11, 2026
Harvesting of Peroneus Longus Tendon Autograft
Published on: September 2, 2025
Tibial stress fracture after fibular graft harvesting: an unusual complication
Ines Lison1, Marius G Bredell, Heinz T Luebbers
1Department of Craniomaxillofacial and Oral Surgery, University Hospital Zurich, CH-8091 Zurich, Switzerland.
Introduction:
Fibular grafts are commonly used in reconstructive head and neck surgery, and several complications have been reported. Tibial stress fracture, however, is rare.
Patient:
A 65-year-old woman presented with a tibial stress fracture 10 weeks after a vascularized fibular flap had been harvested for a mandibular defect due to osteoradionecrosis. The main symptom was activity-related pain after a period of no complaints.
Conclusions:
One should be aware of the complications, particularly after weeks or months, in cases of activity-related pain in the lower extremities. Prevention can be implemented by an awareness of the need to build up the muscles for supporting the tibia in the initial healing phase.
