Fibula Tissue Transfer Workup

Updated: Sep 19, 2018
  • Author: Mark K Wax, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Workup

Laboratory Studies

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  • Laboratory studies based on patient history

  • Coagulation panel

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Imaging Studies

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  • Chest radiography to assess chronic obstructive pulmonary disease and metastasis

  • Computed tomography (CT) scanning

    • CT scan findings augment the physical examination findings to assess the anticipated defect size. [5]

    • Consider the size and orientation of the anticipated soft-tissue defect.

    • Three-dimensional modeling may facilitate reconstruction. [6]

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Other Tests

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  • The role of preoperative Doppler examination or angiographic imaging to evaluate the vascular anatomy of the leg is disputed (see Future and Controversies).

  • Magnetic resonance angiography (MRA) has been used to assess the vascular supply of the leg. Expense has relegated its use to a small number of centers. [7]

  • Physical examination remains the primary method of evaluation. Abnormal results following physical examination is often enough to mandate a different flap.

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