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Vascularized Fibula Graft for the Traumatically Induced Long-Bone Defect

Dr. Levin is Professor of Plastic and Orthopaedic Surgery, and Chief, Division of Plastic and Reconstructive Surgery, Duke University Medical Center, Durham, NC.

Neither Dr. Levin nor the department with which he is affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article.

Long-bone defects resulting from trauma can be managed with a variety of techniques, including conventional bone grafting, distraction osteogenesis, bone graft substitutes, prosthetic devices, and vascularized bone grafting. Although there is an array of available methods for long-bone reconstruction of bony defects, vascularized bone transfer is particularly useful in large defects (>6 cm) and in cases in which osteomyelitis and unstable soft-tissue or beds make conventional techniques difficult.

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