title: Double-rib composite free transfer to reconstruct a single-spared lower extremity defect.
abstract: The case of a 43-year-old man is reported in which a 15-cm defect of the tibia sustained 8 months previously was treated by the double-rib composite microvascular free transfer. The fracture site united, and the grafted ribs showed some hypertrophy at 1 year. He returned to his job. At 5 years follow-up, the x-ray film showed good hypertrophy of the grafted ribs.
authors.affiliation: Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taiwan, Republic of China.
authors.forename: W N
authors.initials: WN
authors.lastname: Ueng
authors.forename: C C
authors.initials: CC
authors.lastname: Chuang
authors.forename: C H
authors.initials: CH
authors.lastname: Shih
mesh_terms: D000328:Adult; D016025:Bone Transplantation; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D012272:Ribs / Q000637:transplantation*; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*