title: Free fibular graft still has a place in the treatment of bone defects.
abstract: We report on 27 patients illustrating the use of non-vascularized single fibular strut graft, augmented with a corticocancellous bone graft to bridge bone defects. The indications were varied and included infection, fracture with bone loss, non-union, bone tumour, bone cyst and congenital pseudarthrosis. Primary union was achieved in 92 per cent. Stress fracture occurred in 26 per cent and no significant fibular graft hypertrophy occurred. The aim of this paper is to show that the non-vascularized single fibular graft, if augmented with corticocancellous bone graft along its whole length, is a simple procedure that is still valid to bridge bone defects.
authors.affiliation: King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia.
authors.forename: S
authors.initials: S
authors.lastname: al-Zahrani
authors.forename: M G
authors.initials: MG
authors.lastname: Harding
authors.forename: M
authors.initials: M
authors.lastname: Kremli
authors.forename: F A
authors.initials: FA
authors.lastname: Khan
authors.forename: A
authors.initials: A
authors.lastname: Ikram
authors.forename: T
authors.initials: T
authors.lastname: Takroni
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001845:Bone Cysts / Q000601:surgery; D001859:Bone Neoplasms / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D016267:External Fixators; D005260:Female; D005269:Femur / Q000601:surgery; D005360:Fibula / Q000637:transplantation*; D017102:Fracture Healing; D050723:Fractures, Bone / Q000601:surgery; D015775:Fractures, Stress; D006084:Graft Rejection; D006801:Humans; D006811:Humerus / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000601:surgery; D011542:Pseudarthrosis / Q000601:surgery; D012189:Retrospective Studies; D013977:Tibia / Q000601:surgery; D014945:Wound Healing