Use of Fibular Strut Graft for Reconstruction of Bone Defects

Abstract

Introduction • Bone recalcitrant nonunion and bone defects usually follow trauma, resection of a malignant tumor of the musculoskeletal system and osteomyelitis. • Instead of amputation, which was used in the past, limb salvage surgeries, including non-vascularized or vascularized autografts and allografts, bone transport and replacement with prostheses are performed. • Among the above methods, nonvascularized autogenous bone graft use is an important treatment strategy that has been performed for over a hundred years. • The fibula is a tubular bone that has a suitable length, geometrical shape and mechanical strength and is considered to be the best donor bone for large bone defects. • Free vascularized fibular grafts achieve higher union rate than non-vascularized fibular grafts in the reconstruction of long bone defects. • In this study, 6 patients with bone defects treated by non-vascularized fibular grafts .We intended to assess the clinical outcomes of graft union, functional outcome.