Anatomical examination of the fibula: digital imaging study for osseointegrated implant installation
Identifieur interne : 000D20 ( Pmc/Curation ); précédent : 000D19; suivant : 000D21Anatomical 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.
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DOI: 10.1186/s40463-015-0055-9
PubMed: 25645158
PubMed Central: 4349317
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Jeffrey Harris<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><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><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><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><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><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><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><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>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Anatomical examination of the fibula: digital imaging study for osseointegrated implant installation</title><author><name sortKey="Ide, Yoshiaki" sort="Ide, Yoshiaki" uniqKey="Ide Y" first="Yoshiaki" last="Ide">Yoshiaki Ide</name><affiliation wicri:level="1"><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></affiliation></author><author><name sortKey="Matsunaga, Satoru" sort="Matsunaga, Satoru" uniqKey="Matsunaga S" first="Satoru" last="Matsunaga">Satoru Matsunaga</name><affiliation wicri:level="1"><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></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></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25645158</idno><idno type="pmc">4349317</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4349317</idno><idno type="RBID">PMC:4349317</idno><idno type="doi">10.1186/s40463-015-0055-9</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000D20</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000D20</idno><idno type="wicri:Area/Pmc/Curation">000D20</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000D20</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Anatomical examination of the fibula: digital imaging study for osseointegrated implant installation</title><author><name sortKey="Ide, Yoshiaki" sort="Ide, Yoshiaki" uniqKey="Ide Y" first="Yoshiaki" last="Ide">Yoshiaki Ide</name><affiliation wicri:level="1"><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></affiliation></author><author><name sortKey="Matsunaga, Satoru" sort="Matsunaga, Satoru" uniqKey="Matsunaga S" first="Satoru" last="Matsunaga">Satoru Matsunaga</name><affiliation wicri:level="1"><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></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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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Otolaryngol Head Neck Surg</journal-id><journal-id journal-id-type="iso-abbrev">J Otolaryngol Head Neck Surg</journal-id><journal-title-group><journal-title>Journal of Otolaryngology - Head & Neck Surgery</journal-title></journal-title-group><issn pub-type="ppub">1916-0208</issn><issn pub-type="epub">1916-0216</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25645158</article-id><article-id pub-id-type="pmc">4349317</article-id><article-id pub-id-type="publisher-id">55</article-id><article-id pub-id-type="doi">10.1186/s40463-015-0055-9</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Research Article</subject></subj-group></article-categories><title-group><article-title>Anatomical examination of the fibula: digital imaging study for osseointegrated implant installation</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Ide</surname><given-names>Yoshiaki</given-names></name><address><email>ideaki@tky.ndu.ac.jp</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Matsunaga</surname><given-names>Satoru</given-names></name><address><email>matsuna@tdc.ac.jp</email></address><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author"><name><surname>Harris</surname><given-names>Jeffrey</given-names></name><address><email>Jeffrey.Harris@albertahealthservices.ca</email></address><xref ref-type="aff" rid="Aff3"></xref><xref ref-type="aff" rid="Aff4"></xref></contrib><contrib contrib-type="author"><name><surname>Connell</surname><given-names>Daniel O’</given-names></name><address><email>Dan.O'Connell@albertahealthservices.ca</email></address><xref ref-type="aff" rid="Aff3"></xref><xref ref-type="aff" rid="Aff4"></xref></contrib><contrib contrib-type="author"><name><surname>Seikaly</surname><given-names>Hadi</given-names></name><address><email>hadi.seikaly@albertahealthservices.ca</email></address><xref ref-type="aff" rid="Aff3"></xref><xref ref-type="aff" rid="Aff4"></xref></contrib><contrib contrib-type="author"><name><surname>Wolfaardt</surname><given-names>Johan</given-names></name><address><email>johan.wolfaardt@albertahealthservices.ca</email></address><xref ref-type="aff" rid="Aff3"></xref><xref ref-type="aff" rid="Aff4"></xref></contrib><aff id="Aff1"><label></label>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</aff><aff id="Aff2"><label></label>Department of Anatomy, Tokyo Dental College, 2-9-18 Misaki-cho, Chiyoda-ku, Tokyo, 101-0061 Japan</aff><aff id="Aff3"><label></label>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</aff><aff id="Aff4"><label></label>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</aff></contrib-group><pub-date pub-type="epub"><day>3</day><month>2</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>3</day><month>2</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>44</volume><issue>1</issue><elocation-id>1</elocation-id><history><date date-type="received"><day>27</day><month>10</month><year>2014</year></date><date date-type="accepted"><day>15</day><month>1</month><year>2015</year></date></history><permissions><copyright-statement>© Ide et al.; licensee BioMed Central. 2015</copyright-statement><license license-type="open-access"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0">http://creativecommons.org/licenses/by/4.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><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></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Fibula</kwd><kwd>Free vascularized fibular flaps</kwd><kwd>Dental implant</kwd><kwd>Jaw reconstruction</kwd><kwd>Osseointegrated implant</kwd><kwd>CT</kwd><kwd>CT scan analysis</kwd><kwd>Fibula anatomy</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2015</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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