{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T06:08:53Z","timestamp":1762409333709,"version":"3.37.3"},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,1,23]],"date-time":"2018-01-23T00:00:00Z","timestamp":1516665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:p>The Free Fibula Osteoseptocutaneous flap is a reliable option when used in neophalloplastic procedures. It possesses intrinsic rigidity that is sufficient for penetrative intercourse, and satisfactory sensation. We review the pros and cons of this procedure, as well the anatomy and surgical steps involved. Surgical text descriptions were enhanced by the creation of new anatomic illustrations. Anatomy of the donor and recipient sites, as well as the surgical technique leading to creation of the neophallus are demonstrated in detail with new relevant illustrations. The free fibula osteoseptocutaneous flap provides the neophallus with many desirable characteristics. Its thick subcutaneous and fascial layer, along with the thicker fibula (compared to the radius), allows for a neophallus of greater diameter. Skin marking, flap lifting, and transfer to the perineum with all relevant neurovascular anastomosis; fibular artery is anastomosed with the femoral artery, while the fibular veins are anastomosed to branches of the saphenous vein, as well as neurorrhaphy of the dorsal nerves of the clitoris and the LSCN are demonstrated. The osteomatized fibula is fixed to the periosteum of the pubic symphysis as shown. Anatomical traits of the Free Fibula Osteoseptocutaneous flap allow intercourse without prosthesis. The donor\u2010site scar in this procedure can be covered by a long sock, and donor site morbidity is acceptable. Clin. Anat. 31:169\u2013174, 2018. \u00a9 2018 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ca.23018","type":"journal-article","created":{"date-parts":[[2017,12,24]],"date-time":"2017-12-24T07:30:19Z","timestamp":1514100619000},"page":"169-174","source":"Crossref","is-referenced-by-count":8,"title":["The anatomy of free fibula osteoseptocutaneous flap in neophalloplasty in transgender surgery"],"prefix":"10.1002","volume":"31","author":[{"given":"Usman","family":"Zaheer","sequence":"first","affiliation":[{"name":"Lake Erie College of Osteopathic Medicine, School of Medicine Erie Pennsylvania 16509"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre","family":"Granger","sequence":"additional","affiliation":[{"name":"St. George's University Grenada West Indies"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelica","family":"Ortiz","sequence":"additional","affiliation":[{"name":"St. George's University Grenada West Indies"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Terrell","sequence":"additional","affiliation":[{"name":"Lake Erie College of Osteopathic Medicine, School of Medicine Erie Pennsylvania 16509"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2811-6657","authenticated-orcid":false,"given":"Marios","family":"Loukas","sequence":"additional","affiliation":[{"name":"St. George's University Grenada West Indies"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6720-3553","authenticated-orcid":false,"given":"Justine","family":"Schober","sequence":"additional","affiliation":[{"name":"Department of Pediatric Urology UPMC Hamot Erie Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,1,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(83)90011-5"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)68213-2"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.07.036"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199304001-00026"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-2752(1996)17:7<358::AID-MICR3>3.0.CO;2-C"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2012.39.4.390"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181aeeb06"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.05.019"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0302-2838(03)00356-7"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199307000-00022"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(20)30369-2"},{"key":"e_1_2_7_13_1","unstructured":"SongC WongM WongCH OngYs2011. Modifications of radial forearm flap phalloplasty for female\u2010to\u2010male gender reassignment; Department of Plastic Reconstructive and Aesthetic Surgery Singapore General Hospital Singapore"},{"key":"e_1_2_7_14_1","first-page":"391","article-title":"Pudendus\u2010reinnervation after penile reconstruction; sensory\u2010evoked potentials (SEP) in correlation to subjective questionnaire results","volume":"3","author":"Wirsam K","year":"2006","journal-title":"J Sex Med"}],"container-title":["Clinical Anatomy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fca.23018","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.23018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T21:50:51Z","timestamp":1694555451000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ca.23018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,23]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1002\/ca.23018"],"URL":"https:\/\/doi.org\/10.1002\/ca.23018","archive":["Portico"],"relation":{},"ISSN":["0897-3806","1098-2353"],"issn-type":[{"type":"print","value":"0897-3806"},{"type":"electronic","value":"1098-2353"}],"subject":[],"published":{"date-parts":[[2018,1,23]]}}}