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Recent updates of surgical techniques and applications of free vascularized fibular graft in extremity and trunk reconstruction
Author(s) -
Korompilias Anastasios V.,
Paschos Nikolaos K.,
Lykissas Marios G.,
KostasAgnantis Ioannis,
Vekris Marios D.,
Beris Alexandros E.
Publication year - 2011
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.20848
Subject(s) - medicine , fibula , surgery , blood supply , free flap , trunk , microsurgery , resection , tibia , ecology , biology
Successful free vascularized bone transfers have revolutionized the limb salvage and musculoskeletal reconstruction. The free vascularized fibula remains the mainstay in bone reconstruction combines the benefits of blood supply, biological potential, and callus formation with its unique biomechanical characteristics offering a supreme candidate for various dissolvable issues. Especially in conditions where there was lack of other applicable method and the free vascularized fibular graft was introduced as the only alternative. Extensive traumatic bone loss, tumor resection, femoral head osteonecrosis and congenital defects have been managed with exceptional results beyond expectations. The present manuscript updates several issues in application of free vascularized fibular graft in extremity and trunk reconstruction. It also highlights tips and pearls of surgical technique in some crucial steps of harvesting the vascularized fibular graft in order to offer a vascularized bone with safety and low donor site morbidity. © 2011 Wiley‐Liss, Inc. Microsurgery 2011.