To evaluate complications and success of mandibular reconstruction with free fibula flaps, iliac crest flaps, and forearm flaps with reconstruction plates and to evaluate dental rehabilitation after these reconstructions. Reconstructive orthopedic surgery to treat bone loss due to severe trauma, pseudarthroses, chronic osteomyelitis, or tumors can be performed using a range of techniques, such as external or internal fixation and the use of endoprostheses or nonvascularized bone flaps.
All flaps consolidated within a mean period of 3 months. The advantages of the vascularized bone flap over the conventional bone graft are better osseointegration, higher consolidation rates, and improved functional response. Hence, in cases of severe bone loss or in situations in which other procedures have yielded poor results, the vascularized bone flap is a better option than the nonvascularized graft because it provides more tissue viability, in terms of vascular nutrition, during the bone healing process. Due to this improved local blood supply, bone production, and intrinsic stability, the vascularized flap has demonstrated faster bone consolidation and a better functional outcome.
When tissues/parts of the body detached and as per requirement transferred to another part and for its viability vascular repair (anastomosis) done, it is known as a free vascularized flap.
