Plasty of extensive defects of long bones with vascularized peroneal grafts

The experience in treatment of 130 patients with vast long bone defects using microsurgical plasty with vascularized fibular autogtarfts is generalized. The defects mainly resulted from severe open mechanical and gunshot injuries as well as congenital pseudoarthroses. Long term results were evaluated in 102 patients in terms from 2 to 15 years. Good results were achieved in 89.2%) of patients. In treatment of congenital pseudoarthroses no failed outcomes were detected, while the use of routine method of bone plasty gave up to 80% of unsatisfactory results.