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Peer-reviewedCC BY-NCJournal of orthopaedic case reports

Retrospective Assessment of Donor Site Morbidity after Partial Fibula Resection.

  1. 1Department of Orthopaedic, Bundelkhand Medical College, Sagar, Madhya Pradesh, India.
  2. 2Department of Orthopaedic, District Hospital, Sagar, Madhya Pradesh, India.

Abstract

The fibula has been used as a bone graft in different reconstructive orthopedic procedures, namely core decompression, limb salvage surgery in giant cell tumor of the distal end of the radius, like a strut graft for bone defects, etc. Despite this widespread use of the fibula, there is very limited literature available on the donor site morbidity. The purpose of our study is to assess the complications related to bone grafting site of the fibula that we have encountered after this graft had been obtained and to evaluate morbidity following free fibular bone grafting. We conducted a Prospective and Retrospective Study from January 2015 to August 2019, comprising 54 patients with a mean age of 34 years who underwent 60 free fibular grafting, with follow-up at 1 month and 6 months. The average ankle-hind-foot score for the 54 patients evaluated was 92.33 of a possible 100 (range 55-100). Radiographic analysis of donor and contralateral sides showed no difference in the ankle joint. Harvesting a fibular strut graft is not without complications, although which can be minimized by following standard protocols and meticulous soft tissue dissection.

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BibTeX
@article{sen2026retrospective,
  title = {{Retrospective Assessment of Donor Site Morbidity after Partial Fibula Resection.}},
  author = {Keshav Kumar Sen and Prem Chand Ahirwar and Gourav Prajapati and Atul Chourasia and Dharm Prakash Gupta and Rahul Ahirwar},
  journal = {Journal of orthopaedic case reports},
  year = {2026},
  month = nov,
  doi = {10.13107/jocr.2026.v16.i11.8552},
  url = {https://europepmc.org/article/MED/42997053},
  note = {CC BY-NC},
}
RIS
TY  - JOUR
TI  - Retrospective Assessment of Donor Site Morbidity after Partial Fibula Resection.
AU  - Keshav Kumar Sen
AU  - Prem Chand Ahirwar
AU  - Gourav Prajapati
AU  - Atul Chourasia
AU  - Dharm Prakash Gupta
AU  - Rahul Ahirwar
PY  - 2026
DA  - 2026/11/01
JO  - Journal of orthopaedic case reports
DO  - 10.13107/jocr.2026.v16.i11.8552
UR  - https://europepmc.org/article/MED/42997053
AB  - The fibula has been used as a bone graft in different reconstructive orthopedic procedures, namely core decompression, limb salvage surgery in giant cell tumor of the distal end of the radius, like a strut graft for bone defects, etc. Despite this widespread use of the fibula, there is very limited literature available on the donor site morbidity. The purpose of our study is to assess the complications related to bone grafting site of the fibula that we have encountered after this graft had been obtained and to evaluate morbidity following free fibular bone grafting. We conducted a Prospective and Retrospective Study from January 2015 to August 2019, comprising 54 patients with a mean age of 34 years who underwent 60 free fibular grafting, with follow-up at 1 month and 6 months. The average ankle-hind-foot score for the 54 patients evaluated was 92.33 of a possible 100 (range 55-100). Radiographic analysis of donor and contralateral sides showed no difference in the ankle joint. Harvesting a fibular strut graft is not without complications, although which can be minimized by following standard protocols and meticulous soft tissue dissection.
SN  - 2250-0685
SN  - 2321-3817
ER  -