Free Vascularized Fibular Bone Graft

  • Ian M. Smith
  • Mark I. Liddington


Autologous bone grafting for large segmental bone defects >6–8 cm, ±soft tissue cover, such as seen in posttraumatic (Fig. 21.1a–d) or postinfectious bone loss and tumor resection (Fig. 21.2a).


Soft Tissue Cover Peroneal Artery Skin Paddle Intermuscular Septum Peroneal Nerve Palsy 
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Further Reading

  1.  .
    Bae DS, Waters PM. Free vascularized fibula grafting: principles, techniques, and applications in pediatric orthopaedics. volume 8, p. 1–4.
  2.  .
    DeCoster TA, Gehlert RJ, Mikola EA, Pirela-Cruz MA. Management of posttraumatic segmental bone defects. J Am Acad Orthop Surg. 2004;12(1):28–38.PubMedGoogle Scholar
  3.  .
    González del Pino J, Bartolomé del Valle E, Graña GL, Villanova JF. Free vascularized fibular grafts have a high union rate in atrophic nonunions. Clin Orthop Relat Res. 2004;419:38–45.Google Scholar
  4.  .
    Malizos KN, Zalavras CG, Soucacos PN, Beris AE, Urbaniak JR. Free vascularized fibular grafts for reconstruction of skeletal defects. J Am Acad Orthop Surg. 2004;12(5):360–9.PubMedGoogle Scholar
  5.  .
    Pliefke J, Rademacher G, Zach A, Bauwens K, Ekkernkamp A, Eisenschenk A. Postoperative monitoring of free vascularized bone grafts in reconstruction of bone defects. Micro­surgery. 2009;29(5):401–7.PubMedCrossRefGoogle Scholar
  6.  .
    Vail TP, Urbaniak JR. Donor-site morbidity with the use of vascularized autogenous fibular grafts. J Bone Joint Surg Am. 1996;78:204–11.PubMedGoogle Scholar
  7.  .
    Wei FC, El-Gammal TA, Lin CH, Ueng WN. Free fibula osteoseptocutaneous graft for reconstruction of segmental femoral shaft defects. J Trauma. 1997;43(5):784–92.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  1. 1.Department of Plastic and Reconstructive SurgeryLeeds General InfirmaryLeedsUK

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