Femur Flap for Tibial Reconstruction: Percent Circumference Required to Convey a Mechanical Advantage over the Fibula
ABSTRACT The fibula flap is commonly used to reconstruct the tibia. This has risk of postoperative fracture despite long-term non–weight bearing. A flap using noncircumferential distal femur is proposed. This study is to determine the circumference of femur required to produce greater strength than...
Gespeichert in:
| Veröffentlicht in: | Journal of reconstructive microsurgery 2010-09, Vol.26 (7), p.481-486 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 486 |
|---|---|
| container_issue | 7 |
| container_start_page | 481 |
| container_title | Journal of reconstructive microsurgery |
| container_volume | 26 |
| creator | Broderick, Genevieve Lalikos, Janice Chowaniec, Matthew Collins, Meghan Wilson, Elias Babbitt, Russell O'Brien, Julie Billiar, Kristen Dunn, Raymond M |
| description | ABSTRACT
The fibula flap is commonly used to reconstruct the tibia. This has risk of postoperative fracture despite long-term non–weight bearing. A flap using noncircumferential distal femur is proposed. This study is to determine the circumference of femur required to produce greater strength than the fibular flap. Femurs and fibulas were harvested from eight cadavers. The structural strength of fibula and femur flaps was assessed using three-point bend. Compression testing was performed on osteotomized and whole femurs to assess donor site morbidity. The 35% flap (mean maximum force at fracture 869 N) was not significantly stronger than the fibula flap (626 N; P > 0.05). The 40% flap (1225 N) was significantly stronger than the fibula flap (P |
| doi_str_mv | 10.1055/s-0030-1261698 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_748969053</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>748969053</sourcerecordid><originalsourceid>FETCH-LOGICAL-c362t-dc7d2280fc4702e3e6c5c6c3bb5ba60120cfb01078be668c2edcd90f820ae4633</originalsourceid><addsrcrecordid>eNp10E9v1DAQhnELUdGlcOWIfEGcUsZ24iTcqlUXkIpaVUXiFjmTCesqsbf-s1K_PVntAidOvvz8jvQw9k7ApYCq-hQLAAWFkFrotnnBVgLapmjasn7JVlCXqtBN-fOcvY7xEUCUrZCv2LmEqlWqrFYsb2jOgW8ms-OjD_zB9tZM_J7Qu5hCxmS9-8zvKCC5xNc2YJ5HCuSQFvWUbaCBJ8_X3u3pmRv-nXBrnMVl5WrYG5fML-J-T4GnLfGN7fNk3rCz0UyR3p7eC_Zjc_2w_lrc3H75tr66KVBpmYoB60HKBkYsa5CkSGOFGlXfV73RICTg2IOAuulJ6wYlDTi0MDYSDJVaqQv28bi7C_4pU0zdbCPSNBlHPseuLptWt1Ad5OVRYvAxBhq7XbCzCc-dgO5QuovdoXR3Kr18eH-azv1Mw1_-J-0CPpyAiUuMMRiHNv5zSugKWrG44ujS1tJM3aPPwS1R_nf4N9QylQU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>748969053</pqid></control><display><type>article</type><title>Femur Flap for Tibial Reconstruction: Percent Circumference Required to Convey a Mechanical Advantage over the Fibula</title><source>MEDLINE</source><source>Thieme Connect Journals</source><creator>Broderick, Genevieve ; Lalikos, Janice ; Chowaniec, Matthew ; Collins, Meghan ; Wilson, Elias ; Babbitt, Russell ; O'Brien, Julie ; Billiar, Kristen ; Dunn, Raymond M</creator><creatorcontrib>Broderick, Genevieve ; Lalikos, Janice ; Chowaniec, Matthew ; Collins, Meghan ; Wilson, Elias ; Babbitt, Russell ; O'Brien, Julie ; Billiar, Kristen ; Dunn, Raymond M</creatorcontrib><description>ABSTRACT
The fibula flap is commonly used to reconstruct the tibia. This has risk of postoperative fracture despite long-term non–weight bearing. A flap using noncircumferential distal femur is proposed. This study is to determine the circumference of femur required to produce greater strength than the fibular flap. Femurs and fibulas were harvested from eight cadavers. The structural strength of fibula and femur flaps was assessed using three-point bend. Compression testing was performed on osteotomized and whole femurs to assess donor site morbidity. The 35% flap (mean maximum force at fracture 869 N) was not significantly stronger than the fibula flap (626 N; P > 0.05). The 40% flap (1225 N) was significantly stronger than the fibula flap (P < 0.01). There was no significant difference between forces at fracture for whole femurs (3978 N), femurs with 35% osteotomies (3604 N), and femurs with 40% osteotomies (3493 N; P = 0.87). Change occurred in the fracture pattern of femurs following osteotomies. Whole femurs consistently fractured at the femoral neck, and osteotomized femurs consistently fractured obliquely from the osteotomy. A flap consisting of 40% of the circumference of the distal femur exceeds the structural strength of the fibular flap. Taking such a flap changes the femur's structural integrity; fixation may be prudent following harvest.</description><identifier>ISSN: 0743-684X</identifier><identifier>EISSN: 1098-8947</identifier><identifier>DOI: 10.1055/s-0030-1261698</identifier><identifier>PMID: 20593345</identifier><identifier>CODEN: JRMIE2</identifier><language>eng</language><publisher>New York, NY: Thieme</publisher><subject>Aged ; Aged, 80 and over ; Analysis of Variance ; Biological and medical sciences ; Biomechanical Phenomena ; Cadaver ; Femur - transplantation ; Fibula - transplantation ; General aspects ; Humans ; Medical sciences ; Osteotomy - methods ; Stress, Mechanical ; Surgical Flaps ; Tibia - surgery</subject><ispartof>Journal of reconstructive microsurgery, 2010-09, Vol.26 (7), p.481-486</ispartof><rights>Thieme Medical Publishers</rights><rights>2015 INIST-CNRS</rights><rights>(c) Thieme Medical Publishers.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-dc7d2280fc4702e3e6c5c6c3bb5ba60120cfb01078be668c2edcd90f820ae4633</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0030-1261698.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-0030-1261698$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>314,780,784,3015,3016,27923,27924,54558,54559</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23165091$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20593345$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Broderick, Genevieve</creatorcontrib><creatorcontrib>Lalikos, Janice</creatorcontrib><creatorcontrib>Chowaniec, Matthew</creatorcontrib><creatorcontrib>Collins, Meghan</creatorcontrib><creatorcontrib>Wilson, Elias</creatorcontrib><creatorcontrib>Babbitt, Russell</creatorcontrib><creatorcontrib>O'Brien, Julie</creatorcontrib><creatorcontrib>Billiar, Kristen</creatorcontrib><creatorcontrib>Dunn, Raymond M</creatorcontrib><title>Femur Flap for Tibial Reconstruction: Percent Circumference Required to Convey a Mechanical Advantage over the Fibula</title><title>Journal of reconstructive microsurgery</title><addtitle>J reconstr Microsurg</addtitle><description>ABSTRACT
The fibula flap is commonly used to reconstruct the tibia. This has risk of postoperative fracture despite long-term non–weight bearing. A flap using noncircumferential distal femur is proposed. This study is to determine the circumference of femur required to produce greater strength than the fibular flap. Femurs and fibulas were harvested from eight cadavers. The structural strength of fibula and femur flaps was assessed using three-point bend. Compression testing was performed on osteotomized and whole femurs to assess donor site morbidity. The 35% flap (mean maximum force at fracture 869 N) was not significantly stronger than the fibula flap (626 N; P > 0.05). The 40% flap (1225 N) was significantly stronger than the fibula flap (P < 0.01). There was no significant difference between forces at fracture for whole femurs (3978 N), femurs with 35% osteotomies (3604 N), and femurs with 40% osteotomies (3493 N; P = 0.87). Change occurred in the fracture pattern of femurs following osteotomies. Whole femurs consistently fractured at the femoral neck, and osteotomized femurs consistently fractured obliquely from the osteotomy. A flap consisting of 40% of the circumference of the distal femur exceeds the structural strength of the fibular flap. Taking such a flap changes the femur's structural integrity; fixation may be prudent following harvest.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Cadaver</subject><subject>Femur - transplantation</subject><subject>Fibula - transplantation</subject><subject>General aspects</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Osteotomy - methods</subject><subject>Stress, Mechanical</subject><subject>Surgical Flaps</subject><subject>Tibia - surgery</subject><issn>0743-684X</issn><issn>1098-8947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10E9v1DAQhnELUdGlcOWIfEGcUsZ24iTcqlUXkIpaVUXiFjmTCesqsbf-s1K_PVntAidOvvz8jvQw9k7ApYCq-hQLAAWFkFrotnnBVgLapmjasn7JVlCXqtBN-fOcvY7xEUCUrZCv2LmEqlWqrFYsb2jOgW8ms-OjD_zB9tZM_J7Qu5hCxmS9-8zvKCC5xNc2YJ5HCuSQFvWUbaCBJ8_X3u3pmRv-nXBrnMVl5WrYG5fML-J-T4GnLfGN7fNk3rCz0UyR3p7eC_Zjc_2w_lrc3H75tr66KVBpmYoB60HKBkYsa5CkSGOFGlXfV73RICTg2IOAuulJ6wYlDTi0MDYSDJVaqQv28bi7C_4pU0zdbCPSNBlHPseuLptWt1Ad5OVRYvAxBhq7XbCzCc-dgO5QuovdoXR3Kr18eH-azv1Mw1_-J-0CPpyAiUuMMRiHNv5zSugKWrG44ujS1tJM3aPPwS1R_nf4N9QylQU</recordid><startdate>20100901</startdate><enddate>20100901</enddate><creator>Broderick, Genevieve</creator><creator>Lalikos, Janice</creator><creator>Chowaniec, Matthew</creator><creator>Collins, Meghan</creator><creator>Wilson, Elias</creator><creator>Babbitt, Russell</creator><creator>O'Brien, Julie</creator><creator>Billiar, Kristen</creator><creator>Dunn, Raymond M</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100901</creationdate><title>Femur Flap for Tibial Reconstruction: Percent Circumference Required to Convey a Mechanical Advantage over the Fibula</title><author>Broderick, Genevieve ; Lalikos, Janice ; Chowaniec, Matthew ; Collins, Meghan ; Wilson, Elias ; Babbitt, Russell ; O'Brien, Julie ; Billiar, Kristen ; Dunn, Raymond M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-dc7d2280fc4702e3e6c5c6c3bb5ba60120cfb01078be668c2edcd90f820ae4633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Biomechanical Phenomena</topic><topic>Cadaver</topic><topic>Femur - transplantation</topic><topic>Fibula - transplantation</topic><topic>General aspects</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Osteotomy - methods</topic><topic>Stress, Mechanical</topic><topic>Surgical Flaps</topic><topic>Tibia - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Broderick, Genevieve</creatorcontrib><creatorcontrib>Lalikos, Janice</creatorcontrib><creatorcontrib>Chowaniec, Matthew</creatorcontrib><creatorcontrib>Collins, Meghan</creatorcontrib><creatorcontrib>Wilson, Elias</creatorcontrib><creatorcontrib>Babbitt, Russell</creatorcontrib><creatorcontrib>O'Brien, Julie</creatorcontrib><creatorcontrib>Billiar, Kristen</creatorcontrib><creatorcontrib>Dunn, Raymond M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of reconstructive microsurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Broderick, Genevieve</au><au>Lalikos, Janice</au><au>Chowaniec, Matthew</au><au>Collins, Meghan</au><au>Wilson, Elias</au><au>Babbitt, Russell</au><au>O'Brien, Julie</au><au>Billiar, Kristen</au><au>Dunn, Raymond M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Femur Flap for Tibial Reconstruction: Percent Circumference Required to Convey a Mechanical Advantage over the Fibula</atitle><jtitle>Journal of reconstructive microsurgery</jtitle><addtitle>J reconstr Microsurg</addtitle><date>2010-09-01</date><risdate>2010</risdate><volume>26</volume><issue>7</issue><spage>481</spage><epage>486</epage><pages>481-486</pages><issn>0743-684X</issn><eissn>1098-8947</eissn><coden>JRMIE2</coden><abstract>ABSTRACT
The fibula flap is commonly used to reconstruct the tibia. This has risk of postoperative fracture despite long-term non–weight bearing. A flap using noncircumferential distal femur is proposed. This study is to determine the circumference of femur required to produce greater strength than the fibular flap. Femurs and fibulas were harvested from eight cadavers. The structural strength of fibula and femur flaps was assessed using three-point bend. Compression testing was performed on osteotomized and whole femurs to assess donor site morbidity. The 35% flap (mean maximum force at fracture 869 N) was not significantly stronger than the fibula flap (626 N; P > 0.05). The 40% flap (1225 N) was significantly stronger than the fibula flap (P < 0.01). There was no significant difference between forces at fracture for whole femurs (3978 N), femurs with 35% osteotomies (3604 N), and femurs with 40% osteotomies (3493 N; P = 0.87). Change occurred in the fracture pattern of femurs following osteotomies. Whole femurs consistently fractured at the femoral neck, and osteotomized femurs consistently fractured obliquely from the osteotomy. A flap consisting of 40% of the circumference of the distal femur exceeds the structural strength of the fibular flap. Taking such a flap changes the femur's structural integrity; fixation may be prudent following harvest.</abstract><cop>New York, NY</cop><pub>Thieme</pub><pmid>20593345</pmid><doi>10.1055/s-0030-1261698</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0743-684X |
| ispartof | Journal of reconstructive microsurgery, 2010-09, Vol.26 (7), p.481-486 |
| issn | 0743-684X 1098-8947 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_748969053 |
| source | MEDLINE; Thieme Connect Journals |
| subjects | Aged Aged, 80 and over Analysis of Variance Biological and medical sciences Biomechanical Phenomena Cadaver Femur - transplantation Fibula - transplantation General aspects Humans Medical sciences Osteotomy - methods Stress, Mechanical Surgical Flaps Tibia - surgery |
| title | Femur Flap for Tibial Reconstruction: Percent Circumference Required to Convey a Mechanical Advantage over the Fibula |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T11%3A09%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Femur%20Flap%20for%20Tibial%20Reconstruction:%20Percent%20Circumference%20Required%20to%20Convey%20a%20Mechanical%20Advantage%20over%20the%20Fibula&rft.jtitle=Journal%20of%20reconstructive%20microsurgery&rft.au=Broderick,%20Genevieve&rft.date=2010-09-01&rft.volume=26&rft.issue=7&rft.spage=481&rft.epage=486&rft.pages=481-486&rft.issn=0743-684X&rft.eissn=1098-8947&rft.coden=JRMIE2&rft_id=info:doi/10.1055/s-0030-1261698&rft_dat=%3Cproquest_cross%3E748969053%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=748969053&rft_id=info:pmid/20593345&rfr_iscdi=true |