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Related Concept Videos

Bones of the Lower Limb: Tibia and Fibula01:10

Bones of the Lower Limb: Tibia and Fibula

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Structural Joints: Fibrous Joints01:03

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Fibrous joints are a type of joint where the bones are connected by fibrous connective tissue. These joints provide stability and minimal to no movement between the articulating bones. There are three types of fibrous joints.
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Related Experiment Video

Updated: Jul 29, 2025

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

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Fibula Jaw-during-Admission.

Yang-Ming Chang1, Chi-Ying Tsai1, Fu-Chan Wei2

  • 1Department of Oral and Maxillofacial Surgery, Chang Gung Memorial Hospital, Taiwan.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|May 19, 2023
PubMed
Summary

Fibula Jaw-during-Admission (JDA) offers improved mandibular reconstruction and dental rehabilitation compared to Jaw-in-a-Day (JIAD). This single-stage procedure enhances reliability and patient outcomes for complex cases.

Keywords:
Fibula Jaw-during-AdmissionFibula Jaw-in-a-DaySegmental jaw defect

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Reconstructive Surgery
  • Dental Implantology

Background:

  • Fibula Jaw-in-a-Day (JIAD) is an advanced technique for mandibular reconstruction and dental rehabilitation.
  • JIAD presents limitations and challenges that necessitate alternative approaches.
  • Fibula Jaw-during-Admission (JDA) is proposed as a refined solution.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of the Fibula Jaw-during-Admission (JDA) technique.
  • To compare JDA with the existing Fibula Jaw-in-a-Day (JIAD) approach.
  • To assess the feasibility of simultaneous mandibular reconstruction and dental rehabilitation.

Main Methods:

  • Six patients underwent segmental mandibulectomy with simultaneous fibula transfer and immediate dental implantation (JDA).
  • Temporary dental prostheses were fabricated using intraoral scans and fitted before discharge.
  • Permanent prostheses with normal occlusion were fitted approximately six months post-surgery.

Main Results:

  • All six JDA surgeries were successful, with good functional and aesthetic outcomes.
  • Follow-up (12-34 months) demonstrated positive results in all patients.
  • Four patients required secondary procedures for granulation tissue management.

Conclusions:

  • Fibula JDA is a superior alternative to JIAD for simultaneous mandibular reconstruction and dental rehabilitation.
  • JDA eliminates the need for postoperative intermaxillary fixation, reducing patient stress.
  • The technique offers greater precision and flexibility in dental prosthesis fabrication and fitting.