Safety of fibula free flap in patients following total knee replacement.

Academic Article


  • BACKGROUND: Fibula free flap (FFF) is the preferred osteocutaneous flap for reconstruction of large head and neck composite defects. There is a paucity of data whether FFF can be performed safely in patients with knee replacement (total knee arthroplasty [TKA]). METHODS: Multi-institutional review of outcomes following FFF in patients who had prior TKA. RESULTS: Ten surgeons reported successful FFF in 53 patients with prior TKA. The most common preoperative imaging was a CT angiogram of the bilateral lower extremities. There was no evidence of intraoperative vascular abnormality. Physical therapy began between postoperative day 1 to postoperative day 3. At 1 month postoperatively, 40% of patients were using a cane or walker to ambulate, but by 3 months all had returned to baseline ambulatory status. At >1 year, there were no gait complications. CONCLUSION: FFF appears safe in patients with prior knee replacement without an increased risk of complications compared to baseline.
  • Authors


  • fibula free flap, fibula reconstruction, microvascular reconstruction, safety, total knee replacement, Arthroplasty, Replacement, Knee, Fibula, Free Tissue Flaps, Humans, Postoperative Complications, Reconstructive Surgical Procedures, Retrospective Studies
  • Digital Object Identifier (doi)

    Author List

  • Harris BN; Ghazizadeh S; Bayon R; Kejner AE; Cannady SB; Greene BJ; Huang AT; Curry J; Blackwell KE; Ducic Y
  • Start Page

  • 585
  • End Page

  • 589
  • Volume

  • 43
  • Issue

  • 2