Secondary reconstruction after vascularized fibular transfer

J Bone Joint Surg Am. 1993 Oct;75(10):1442-50. doi: 10.2106/00004623-199310000-00004.


We evaluated the results of skeletal reconstruction performed through a mature, vascularized fibular graft in five patients. The average time-interval between the original transplant and the secondary reconstruction was sixty-eight months. The indication for the initial graft had been the loss of bone secondary to trauma in one patient, a skeletal defect due to ablation of a tumor in two patients, and osseous loss due to resection of a congenital pseudarthrosis in two patients. The indication for the second reconstruction was non-union of a fracture as a result of a new traumatic injury in two patients and complex angular deformity in three patients; one of the patients in the latter group had an associated leg-length discrepancy. In all five patients, the second reconstruction was successful, and the vascularized fibular graft responded to the procedure in a manner similar to normal cortical bone.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Bone Diseases / diagnostic imaging
  • Bone Diseases / pathology
  • Bone Diseases / surgery*
  • Bone Neoplasms / surgery
  • Bone and Bones / pathology
  • Child
  • Child, Preschool
  • Female
  • Fibula / transplantation*
  • Fracture Fixation, Internal
  • Fractures, Ununited / surgery
  • Humans
  • Hypertrophy
  • Leg Length Inequality / surgery
  • Male
  • Osteotomy
  • Postoperative Complications / surgery*
  • Pseudarthrosis / surgery
  • Radiography
  • Reoperation