Transposition of the fibula on the supplying vascular pedicle for plasty of defects in the distal femur

After preliminary experimental study the bone plasty with vascularised fibular graft was performed to 9 patients with distal femur defects from 1 to 18 cm. Taking into account the advantages and shortcoming of the procedure several variants for transposition of vascularised fibular grafts were elaborated. They included gradual lengthening of vascular pedicle, use of doubled fibular graft to increase the mechanical strength. In all patients the restoration of weight-bearing ability of the limb was achieved by 1 year after surgery.