Main Article Content

Parintosa Atmodiwirjo
Mohamad Rachadian Ramadan
Sara Ester Triatmoko
Nadhira Anindita Ralena


Summary: Free fibular flap (FFF) is a composite flap consisting of fibular bone and skin paddle. Muscle may be added to the flap. It has several advantages and disadvantages. The fibular free flap is well suited for any reconstruction of the head and neck. It is suitable for defects of the anterior mandibular arch or lateral defects in patients who wish to undergo osseointegrated dental reconstruction. Meanwhile, its contraindications are related to significant atherosclerotic diseases the patient has or congenital variants of the arteries. Preparations for FFF procedure consist of history taking, physical examinations and supporting examinations, like other free flaps procedure in general. Several intraoperative preparations should also be done.


Metrics Loading ...

Article Details

How to Cite
Atmodiwirjo P, Ramadan MR, Triatmoko SE, Ralena NA. How to Harvest The Free Fibula Flap. J Plast Rekons [Internet]. 2020Apr.10 [cited 2020Aug.14];7(1):4-. Available from:
1. Atmodiwirjo P, Triatmoko SE. How To Harvest The Free Osteoseptocutaneous Fibular Flap: Step-by-Step. Jakarta: Lingkar Studi Bedah Plastik; 2019
2. Atmodiwirjo P. Early And Recent Development Of Reconstructive Microsurgery Subspeciality In Dr. Cipto Mangunkusumo National Hospital, Universitas Indonesia (1983-2020). Jurnal Plastik Rekonstruksi. 2020;6(2):281-90.
3. Atmodiwirjo P, Putri N. The Advantages of Vascularized Fibular Bone Graft For Mandibular Tumor Reconstruction. Jurnal Plastik Rekonstruksi. 1970;1(1).
4. Kokosis G, Schmitz R, Powers DB, Erdmann D. Mandibular Reconstruction Using the Free Vascularized Fibula Graft: An Overview of Different Modifications. Arch Plast Surg. 2016;43(1):3–9.
5. Aine M. Kelly, Paul Cronin, Hero K. Hussain, Frank J. Londy, Douglas B. Chepeha, and Ruth C. Carlos. Preoperative mr angiography in free fibula flap transfer for head and neck cancer: Clinical application and influence on surgical decision making. American Journal of Roentgenology. 2007;188: 268-274.