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Updated: Oct 1, 2025
Engineered Vascularized Muscle Flap
Published on: January 11, 2016
Traumatic Fibular Loss Managed with a Free Vascularized Fibular Graft: A Case Report
Davis A Hartnett1, John D Milner, Motasem Salameh
1Department of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, Rhode Island.
Case:
A 25-year-old man involved in a jet skiing accident experienced a traumatic excision of his distal fibula in conjunction with other lower extremity injuries. He subsequently underwent a reconstruction of his lateral malleolus using an ipsilateral free vascularized fibular graft (FVFG) from his proximal fibular shaft, resulting in a preserved and stabilized ankle joint at 1 year.
Conclusion:
Traumatic distal fibular excision is a rare injury that can be successfully managed using an FVFG, with fusion of the distal syndesmosis and a symmetric ankle mortise observed at the 1-year follow-up.
