PMC9839264_01
MFT flap with cartilage cap and lateral hemi-cortical osteotomy on distal fibula for MFT placement.
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PMC9839264_01_gox-11-e4738-g001.jpg
F1
The MFT was fixated onto the distal fibula segment by creating a 3-cm lateral hemi-cortical resection of the distal fibula which overlapped the final hole on the reconstruction plate (Fig. 1).
MFT pedicle elevated off cortical bone for 1 cm to allow for sliding into hemi-cortical groove and before bicortical screw fixation including distal reconstruction plate hole.
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F2
The MFT was then placed into the slot after the pedicle/periosteum was elevated with a freer for 1 cm to allow placement of a 10-mm screw through the distal plate hole spanning the MFT cortex and medial fibular cortex (Fig. 2).
Excursion at 6-months improved from severe baseline trismus. A, Six-month postoperative photograph. B, Radiographic bony union and neo-condylar seating at 6 months.
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F3
Postoperative CT at 6 months demonstrated bony union and seating of the MFT within the glenoid fossa (Fig. 3).