dc.contributor.author | Nangole, Wanjala F | |
dc.contributor.author | Khainga, S O | |
dc.contributor.author | Kahoro, L | |
dc.date.accessioned | 2013-11-29T13:57:12Z | |
dc.date.available | 2013-11-29T13:57:12Z | |
dc.date.issued | 2013-06 | |
dc.identifier.citation | Nangole Wanjala F., Khainga S O., Kahoro L.;Free Fibula Flaps Under Loupe Magnification; A Viable Option For Reconstruction Of Bony Defects In A Resource Constrained Environment,presented at the 2nd International Scientific Conference, Chs And Knh, 19th - 21st June 2013. | en |
dc.identifier.uri | http://hdl.handle.net/11295/61159 | |
dc.description.abstract | Reconstruction of bony defects either posttraumatic or secondary to tumour
surgery can be challenging and demanding. Extensive bony defects are best
managed by free flaps. In many centers in the developed world this is done by
the aid of microscopes. However in many developing countries especially in
sub-Saharan Africa Microscopes are not readily available.
In this presentation we present ,our experience with the use of loupes in doing
free fibula flaps at Kenyatta National Hospital; a tertiary public hospital in Kenya.
A total of fifteen patients with extensive bony defects requiring reconstruction
were followed in this study .Thirteen patients needed reconstruction of the
mandible with one patient the radius and one the tibia. The overall flap success
rate was about ninety percent.
In conclusion, even in centers where microscopes are not readily available,
successful reconstruction of extensive bony defects can be achieved by the use
of loupe magnifications.
Loupes are easily portable, cheap and can thus be assembled even in the
most remote of all places. Fibula has a relatively big caliber pedicle of about
2millimetre in diameter. This large size pedicle allows for the relatively ease of
anastomosis with the loupes. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi | en |
dc.title | Free Fibula Flaps Under Loupe Magnification; A Viable Option For Reconstruction Of Bony Defects In A Resource Constrained Environment | en |
dc.type | Presentation | en |
local.publisher | College of Health Sciences | en |