Free vascularızed fıbular graft ın the reconstructıon of long bone defects

Abstract

Three vascularized fibula transfer were carried out to bridge the defects of one humerus and two tibia and they have been followed up to 6-10 months. The first case had a humerus defect of the dominant arm which had been previously bridged twice with the conventional non-vascular iliac bone grafts, followed by non-union. The second transfer was carried out to an extensive tibial defect, due to a gun-shot injury. In these two patients, it was not possible to monitor the circulation of the graft in the early postoperative period. Therefore a skin flap was included with the bone graft in the third case to cover the overlying skin defect and it was also used as a monitoring flap.