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Updated: Aug 10, 2026
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A Modified Heterotopic Swine Hind Limb Transplant Model for Translational Vascularized Composite Allotransplantation (VCA) Research
Published on: October 14, 2013
The osteocutaneous free fibular graft
The Journal of Bone and Joint Surgery. British Volume
|November 1, 1986
Summary
Free vascularized fibular grafts with an integral skin flap enable one-stage reconstruction for extensive lower leg bone and skin loss. This technique offers a robust solution for complex limb defects.
Area of Science:
- Orthopedic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Extensive bone and skin loss in the lower leg presents significant reconstructive challenges.
- Traditional methods may require multiple stages or yield suboptimal outcomes.
Observation:
- Seven patients underwent one-stage reconstruction using free osteocutaneous fibular grafts revascularized by microvascular anastomoses.
- The study focuses on the technique of incorporating an integral skin flap with the fibular graft.
Findings:
- The combined osteocutaneous fibular graft with an integral skin flap successfully reconstructed defects involving both bone and significant skin loss.
- Key advantages include the availability of long, straight cortical bone, a large, thin skin flap, a robust vascular pedicle, and tourniquet-assisted dissection.
Implications:
- This technique provides an effective one-stage solution for complex lower leg reconstructions.
- It expands reconstructive options for patients with severe limb trauma or defects.
