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Function following partial fibulectomy
Clinical Orthopaedics and Related Research
|July 1, 1987
Summary
Partial fibula removal for bone grafts can lead to mild pain and functional deficits in some patients. Most patients experience subjective complaints and some muscular weakness post-surgery.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Reconstructive Surgery
Background:
- The fibula serves as a crucial bone graft source.
- Assessing functional outcomes after fibulectomy is essential for patient recovery.
Purpose of the Study:
- To evaluate the functional consequences of partial fibula removal for bone grafting.
- To identify potential long-term complications and patient-reported outcomes.
Main Methods:
- Retrospective analysis of 41 patients undergoing partial fibulectomy.
- Assessment of pain, functional difficulties, ankle swelling, range of motion, and muscle torque at 27 months post-surgery.
Main Results:
- Most patients reported subjective complaints (pain, swelling) or mild functional limitations.
- No significant differences in range of motion were observed between operated and non-operated limbs.
- A statistically significant decrease in ankle evertor muscle torque was noted in men on the operated side.
Conclusions:
- Partial fibula removal for bone grafting can result in persistent subjective complaints and mild muscular weakness.
- While major functional deficits are uncommon, careful patient selection and counseling are warranted.