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Arch Facial Plast Surg. 2005;7:265.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The ability to transfer vascularized bone as well as soft tissue has permitted the reconstruction of defects following ablative surgery. The fibula-free osteocutaneous flap has become the "workhorse flap" for mandibular reconstruction. The reliability of the transferred flap has remained between 95% and 100% in various authors’ hands.^1-3

The vascular supply to the foot is dependent on adequate flow from the anterior tibial, posterior tibial, and peroneal arteries. Removal of the peroneal artery is necessary to allow vascularization of the fibula osteocutaneous transfer unit. Thus, following fibula-free tissue transfer, the leg, as well as the foot, is dependent on the remaining anterior and posterior tibial arteries.

The theoretical possibility that a patient will lose a foot as a result of inadequate vascular supply following harvest of the fibula flap, as well as potential morbidity at the donor site because of poor vascularity, has been discussed in the literature.^4-6 What is . . . [Full Text of this Article]

AUTHOR INFORMATION
Mark K. Wax, MD

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Use of Fibula-Free Tissue Transfer With Preoperative 2-Vessel Runoff to the Lower Extremity
Lance Oxford and Yadranko Ducic
Arch Facial Plast Surg. 2005;7(4):261-264.
ABSTRACT | FULL TEXT