So I've been researching this subject a lot lately as I've seriously thought about doing a marathon. I'm a little over 3 years post op right now and up until the last year I wasn't really active on my leg.

I actually found this post again Googling "running after fibula flap" and thought I may as well share my experience here and findings. Thus far I haven't found a lot of information out there on the follow up activities of patients that have undergone this operation only that there have been 0 permanent disability due to the leg and 1 report of a patient who's ran a marathon.

Over the last 5 months I've been training very hard to get back into shape and build muscle however my training has focused more on weight lifting, sprints, bleachers and short distances of no more then 2 miles. This activity has been difficult at times due to the long term issues I have with my leg however has also helped stabilize the leg and lessen the chronic pain I experience because of it.

After the extraction of the fibula and a large area of tissue my foot does not have full range of motion and my leg is weak particularly at the ankle, which I've read is common. Weight lifting and the sprints have helped the weakness to a point (still lags) however the range of motion is not getting any better no matter how much stretching, massage or yoga I've done.

For about the last week I've been focusing on longer distance as a goal of mine is to run a marathon and wrestling season is starting in a few weeks and I plan to help out and roll with the local high school team. I started upping my running from the short 1-2 mile runs to 4 miles of mostly even ground. What I'm finding is that I don't believe my foot will be able to handle it due to the poor range of motion.

I've been icing my leg to lessen the pain and swelling and will need to have my Dr check me out, I'm also going to try bracing at the calf and ankle. What I'm finding is that the other leg is wearing due to overcompensating for the weak and lack of motion at the foot.

I'm researching different form and techniques to possibly help, if there are any others that have experience with this, I'd love feedback as I fully intend to do this thing!

Eric