Free Fibular Graft For Reconstruction of Traumatic Lower Limb Defects

Free vascularized fibular graft can be transferred to reconstruct skeletal defects of the extremities. It may be combined with skin, fascia, muscle, and growth-plate tissue to address the needs of the recipient site. It may be cut transversely and folded to reconstruct the length and width of tibial or femoral defects. The main indications for this graft are defects larger than 5 to 6 cm or with poor vascularity of the surrounding soft tissues. Detailed preoperative planning, experience in microvascular techniques, and careful postoperative follow-up are necessary to minimize complications and improve outcome.

Autorentext

Ashraf Abdelaziz MD, M.Sc, Orthopedic, Hand and microsurgery, Faculty of Medicine, Al-Azahr University. Lecturer of Orthopedics surgery, Alzhraa University Hospital, Cairo, Egypt. Fellowship at Hand and Reconstructive Microsurgery Unit in Assiut University, Egypt. Fellowship at Clinic of Hand Surgery, Rhön-Klinikum, Germany.