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Pedicle Ossification-induced Thrombosis and Sequential Fibula Free Flap Failures

Khaled Al Tabaa1,2, Louis Morin1, Diane Roudie1

  • 1From the Otolaryngology-Head and Neck Surgery Department, NOVO Hospital, Pontoise, France.

Plastic and Reconstructive Surgery. Global Open
|January 7, 2026
PubMed
Summary

Pedicle ossification in fibula free flaps (FFF) can cause vascular compromise and flap failure, a previously unreported complication. This case highlights the need for careful surgical technique and consideration of alternative flaps to prevent necrosis.

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