Anatomical examination of the fibula: digital imaging study for osseointegrated implant installation
Identifieur interne : 001427 ( Main/Exploration ); précédent : 001426; suivant : 001428Anatomical examination of the fibula: digital imaging study for osseointegrated implant installation
Auteurs : Yoshiaki Ide [Japon] ; Satoru Matsunaga [Japon] ; Jeffrey Harris ; Daniel O Connell ; Hadi Seikaly ; Johan WolfaardtSource :
- Journal of Otolaryngology - Head & Neck Surgery [ 1916-0208 ] ; 2015.
Abstract
Free vascularized fibular flaps are commonly used in jaw reconstruction. CT scan images of the fibula are used in digital planning of jaw reconstruction. In order to fully describe the anatomy of the fibula, an imaging study of the fibula was undertaken. The purpose of the present study was to examine the anatomical structure of the fibula using patient CT images.
The CT scan images of fibulae of 20 patients were used for the study. The results of the analysis showed that, of the widths, the anterior border of the fibula to the posterior surface was the largest dimension. The shape type analysis showed that the triangular type was most prominent near the head of the fibula, and the irregular type was most prominent towards the lateral malleolus.
The results of height and width related to the long axis of implant installation showed that the width of the central section was the largest. With respect to the length of available bone volume, the length near the lateral malleolus was larger than that near the head of the fibula. The results showed that there were significant differences in size between male and female fibulae.
The present study provides a CT scan based analysis of the anatomy of the fibula. Important information for the optimal site of installation of osseointegrated implants in fibular free flap reconstructions is also provided.
Url:
DOI: 10.1186/s40463-015-0055-9
PubMed: 25645158
PubMed Central: 4349317
Affiliations:
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last="Matsunaga">Satoru Matsunaga</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Department of Anatomy, Tokyo Dental College, 2-9-18 Misaki-cho, Chiyoda-ku, Tokyo, 101-0061 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Anatomy, Tokyo Dental College, 2-9-18 Misaki-cho, Chiyoda-ku, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Harris, Jeffrey" sort="Harris, Jeffrey" uniqKey="Harris J" first="Jeffrey" last="Harris">Jeffrey Harris</name><affiliation><nlm:aff id="Aff3">Division of Otolaryngology Head and Neck Surgery, Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, 1E4 WMC, 8440-112 Street, Edmonton, Alberta T6G 2B7 Canada</nlm:aff><wicri:noCountry code="subfield">Alberta T6G 2B7 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff4">Institute for Reconstructive 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uniqKey="Ide Y" first="Yoshiaki" last="Ide">Yoshiaki Ide</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Developmental and Regenerative Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Developmental and Regenerative Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Matsunaga, Satoru" sort="Matsunaga, Satoru" uniqKey="Matsunaga S" first="Satoru" last="Matsunaga">Satoru Matsunaga</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Department of Anatomy, Tokyo Dental College, 2-9-18 Misaki-cho, Chiyoda-ku, Tokyo, 101-0061 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Anatomy, Tokyo Dental College, 2-9-18 Misaki-cho, Chiyoda-ku, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Harris, Jeffrey" sort="Harris, Jeffrey" uniqKey="Harris J" first="Jeffrey" last="Harris">Jeffrey Harris</name><affiliation><nlm:aff id="Aff3">Division of Otolaryngology Head and Neck Surgery, Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, 1E4 WMC, 8440-112 Street, Edmonton, Alberta T6G 2B7 Canada</nlm:aff><wicri:noCountry code="subfield">Alberta T6G 2B7 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff4">Institute for Reconstructive Sciences in Medicine (iRSM), Alberta Health Services/Covenant Health/University of Alberta, 1W-02, 16940-87 Avenue, Edmonton, Alberta T5R 4H5 Canada</nlm:aff><wicri:noCountry code="subfield">Alberta T5R 4H5 Canada</wicri:noCountry></affiliation></author><author><name sortKey="Connell, Daniel O" sort="Connell, Daniel O" uniqKey="Connell D" first="Daniel O" last="Connell">Daniel O Connell</name><affiliation><nlm:aff id="Aff3">Division of Otolaryngology Head and Neck Surgery, Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, 1E4 WMC, 8440-112 Street, Edmonton, Alberta T6G 2B7 Canada</nlm:aff><wicri:noCountry code="subfield">Alberta T6G 2B7 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff4">Institute for Reconstructive Sciences in Medicine (iRSM), Alberta Health Services/Covenant Health/University of Alberta, 1W-02, 16940-87 Avenue, Edmonton, Alberta T5R 4H5 Canada</nlm:aff><wicri:noCountry code="subfield">Alberta T5R 4H5 Canada</wicri:noCountry></affiliation></author><author><name sortKey="Seikaly, Hadi" sort="Seikaly, Hadi" uniqKey="Seikaly H" first="Hadi" last="Seikaly">Hadi Seikaly</name><affiliation><nlm:aff id="Aff3">Division of Otolaryngology Head and Neck Surgery, Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, 1E4 WMC, 8440-112 Street, Edmonton, Alberta T6G 2B7 Canada</nlm:aff><wicri:noCountry code="subfield">Alberta T6G 2B7 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff4">Institute for Reconstructive Sciences in Medicine (iRSM), Alberta Health Services/Covenant Health/University of Alberta, 1W-02, 16940-87 Avenue, Edmonton, Alberta T5R 4H5 Canada</nlm:aff><wicri:noCountry code="subfield">Alberta T5R 4H5 Canada</wicri:noCountry></affiliation></author><author><name sortKey="Wolfaardt, Johan" sort="Wolfaardt, Johan" uniqKey="Wolfaardt J" first="Johan" last="Wolfaardt">Johan Wolfaardt</name><affiliation><nlm:aff id="Aff3">Division of Otolaryngology Head and Neck Surgery, Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, 1E4 WMC, 8440-112 Street, Edmonton, Alberta T6G 2B7 Canada</nlm:aff><wicri:noCountry code="subfield">Alberta T6G 2B7 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff4">Institute for Reconstructive Sciences in Medicine (iRSM), Alberta Health Services/Covenant Health/University of Alberta, 1W-02, 16940-87 Avenue, Edmonton, Alberta T5R 4H5 Canada</nlm:aff><wicri:noCountry code="subfield">Alberta T5R 4H5 Canada</wicri:noCountry></affiliation></author></analytic><series><title level="j">Journal of Otolaryngology - Head & Neck Surgery</title><idno type="ISSN">1916-0208</idno><idno type="eISSN">1916-0216</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Free vascularized fibular flaps are commonly used in jaw reconstruction. CT scan images of the fibula are used in digital planning of jaw reconstruction. In order to fully describe the anatomy of the fibula, an imaging study of the fibula was undertaken. The purpose of the present study was to examine the anatomical structure of the fibula using patient CT images.</p></sec><sec><title>Methods</title><p>The CT scan images of fibulae of 20 patients were used for the study. The results of the analysis showed that, of the widths, the anterior border of the fibula to the posterior surface was the largest dimension. The shape type analysis showed that the triangular type was most prominent near the head of the fibula, and the irregular type was most prominent towards the lateral malleolus.</p></sec><sec><title>Results</title><p>The results of height and width related to the long axis of implant installation showed that the width of the central section was the largest. With respect to the length of available bone volume, the length near the lateral malleolus was larger than that near the head of the fibula. The results showed that there were significant differences in size between male and female fibulae.</p></sec><sec><title>Conclusion</title><p>The present study provides a CT scan based analysis of the anatomy of the fibula. Important information for the optimal site of installation of osseointegrated implants in fibular free flap reconstructions is also provided.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Taylor, Gi" uniqKey="Taylor G">GI Taylor</name></author><author><name sortKey="Miller, Gd" uniqKey="Miller G">GD Miller</name></author><author><name sortKey="Ham, Fj" uniqKey="Ham F">FJ Ham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hidalgo, Da" uniqKey="Hidalgo D">DA Hidalgo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lyberg, T" uniqKey="Lyberg T">T Lyberg</name></author><author><name sortKey="Olstad, Oa" uniqKey="Olstad O">OA Olstad</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zlotolow, Im" uniqKey="Zlotolow I">IM Zlotolow</name></author><author><name sortKey="Huryn, Jm" uniqKey="Huryn J">JM 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sortKey="Beumer, J" uniqKey="Beumer J">J Beumer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Anne Gaelle, B" uniqKey="Anne Gaelle B">B Anne-Gaëlle</name></author><author><name sortKey="Samuel, S" uniqKey="Samuel S">S Samuel</name></author><author><name sortKey="Julie, B" uniqKey="Julie B">B Julie</name></author><author><name sortKey="Renaud, L" uniqKey="Renaud L">L Renaud</name></author><author><name sortKey="Pierre, B" uniqKey="Pierre B">B Pierre</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Logan, H" uniqKey="Logan H">H Logan</name></author><author><name sortKey="Wolfaardt, J" uniqKey="Wolfaardt J">J Wolfaardt</name></author><author><name sortKey="Boulanger, P" uniqKey="Boulanger P">P Boulanger</name></author><author><name sortKey="Hodgetts, B" uniqKey="Hodgetts B">B Hodgetts</name></author><author><name sortKey="Seikaly, H" uniqKey="Seikaly H">H 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Seikaly</name></author><author><name sortKey="Maharaj, M" uniqKey="Maharaj M">M Maharaj</name></author><author><name sortKey="Rieger, J" uniqKey="Rieger J">J Rieger</name></author><author><name sortKey="Harris, J" uniqKey="Harris J">J Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shindo, M" uniqKey="Shindo M">M Shindo</name></author><author><name sortKey="Fong, Bp" uniqKey="Fong B">BP Fong</name></author><author><name sortKey="Funk, Gf" uniqKey="Funk G">GF Funk</name></author><author><name sortKey="Karnell, Lh" uniqKey="Karnell L">LH Karnell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Germain, Ma" uniqKey="Germain M">MA Germain</name></author><author><name sortKey="Gomez, Ng" uniqKey="Gomez N">NG Gomez</name></author><author><name sortKey="Demers, G" uniqKey="Demers G">G Demers</name></author><author><name sortKey="Hureau, J" uniqKey="Hureau J">J 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sortKey="Hoffman, Ht" uniqKey="Hoffman H">HT Hoffman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seikaly, H" uniqKey="Seikaly H">H Seikaly</name></author><author><name sortKey="Chau, J" uniqKey="Chau J">J Chau</name></author><author><name sortKey="Li, F" uniqKey="Li F">F Li</name></author><author><name sortKey="Driscoll, B" uniqKey="Driscoll B">B Driscoll</name></author><author><name sortKey="Seikaly, D" uniqKey="Seikaly D">D Seikaly</name></author><author><name sortKey="Calhoun, J" uniqKey="Calhoun J">J Calhoun</name></author><author><name sortKey="Calhoun, Kh" uniqKey="Calhoun K">KH Calhoun</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adell, R" uniqKey="Adell R">R Adell</name></author><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name></author><author><name sortKey="Rockler, B" uniqKey="Rockler B">B Rockler</name></author><author><name sortKey="Br Nemark, Pi" uniqKey="Br Nemark P">PI Brånemark</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Drake, Rl" uniqKey="Drake R">RL Drake</name></author><author><name sortKey="Mitchell, Awm" uniqKey="Mitchell A">AWM Mitchell</name></author><author><name sortKey="Vogl, Aw" uniqKey="Vogl A">AW Vogl</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country><region><li>Région de Kantō</li></region><settlement><li>Tokyo</li></settlement></list><tree><noCountry><name sortKey="Connell, Daniel O" sort="Connell, Daniel O" uniqKey="Connell D" first="Daniel O" last="Connell">Daniel O Connell</name><name sortKey="Harris, Jeffrey" sort="Harris, Jeffrey" uniqKey="Harris J" first="Jeffrey" last="Harris">Jeffrey Harris</name><name sortKey="Seikaly, Hadi" sort="Seikaly, Hadi" uniqKey="Seikaly H" first="Hadi" last="Seikaly">Hadi Seikaly</name><name sortKey="Wolfaardt, Johan" sort="Wolfaardt, Johan" uniqKey="Wolfaardt J" first="Johan" last="Wolfaardt">Johan Wolfaardt</name></noCountry><country name="Japon"><region name="Région de Kantō"><name sortKey="Ide, Yoshiaki" sort="Ide, Yoshiaki" uniqKey="Ide Y" first="Yoshiaki" last="Ide">Yoshiaki Ide</name></region><name sortKey="Matsunaga, Satoru" sort="Matsunaga, Satoru" uniqKey="Matsunaga S" first="Satoru" last="Matsunaga">Satoru Matsunaga</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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