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Tibial stress fracture after fibular graft harvesting: an unusual complication


Lison, Ines; Bredell, Marius G; Luebbers, Heinz T; Grätz, Klaus W; Kruse, Astrid L D (2010). Tibial stress fracture after fibular graft harvesting: an unusual complication. Journal of Craniofacial Surgery, 21(4):1082-1083.

Abstract

INTRODUCTION: Fibular grafts are commonly used in reconstructive head and neck surgery, and several complications have been reported. Tibial stress fracture, however, is rare. PATIENT: A 65-year-old woman presented with a tibial stress fracture 10 weeks after a vascularized fibular flap had been harvested for a mandibular defect due to osteoradionecrosis. The main symptom was activity-related pain after a period of no complaints. CONCLUSIONS: One should be aware of the complications, particularly after weeks or months, in cases of activity-related pain in the lower extremities. Prevention can be implemented by an awareness of the need to build up the muscles for supporting the tibia in the initial healing phase.

Abstract

INTRODUCTION: Fibular grafts are commonly used in reconstructive head and neck surgery, and several complications have been reported. Tibial stress fracture, however, is rare. PATIENT: A 65-year-old woman presented with a tibial stress fracture 10 weeks after a vascularized fibular flap had been harvested for a mandibular defect due to osteoradionecrosis. The main symptom was activity-related pain after a period of no complaints. CONCLUSIONS: One should be aware of the complications, particularly after weeks or months, in cases of activity-related pain in the lower extremities. Prevention can be implemented by an awareness of the need to build up the muscles for supporting the tibia in the initial healing phase.

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2 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Cranio-Maxillofacial Surgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2010
Deposited On:06 Feb 2013 18:06
Last Modified:05 Apr 2016 16:20
Publisher:Lippincott, Williams & Wilkins
ISSN:1049-2275
Publisher DOI:https://doi.org/10.1097/SCS.0b013e3181e1e7a7
PubMed ID:20613573

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