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Vascularized fibular graft with skin was used in six patients who had extensive bone and skin defect in the lower leg with osteomyelitis and pseudoarthrosis. Follow up ranged from 14 to 52 months (mean, 30 months). In one case we used musculo-cutaneous flap with fibular bone as the treatment of the patient with extensive bone and skin defect in the lower leg. The results were all excellent and the period of the bone union ranged from 6 months to 10 months (mean, 7.3 months).

Vascularized fibular graft with skin in surgery of lower extremity.