Enhancing Ankle Arthrodesis in Complex Cases: The Role of the Vascularized Fibula Flap

This retrospective case series investigates the efficacy of integrating vascularized fibula flaps in ankle arthrodesis procedures, focusing on clinical outcomes including union rate, postoperative infection rate, and patient function. Four male patients between the ages of 53 and 71 years underwent ankle arthrodesis in conjunction with a vascularized fibula bone flap. Comorbidities included hypertension, rheumatoid arthritis, and type II diabetes. Two flaps were pedicled; the other 2 were transferred as free flaps. One patient experienced a postoperative infection, successfully treated with hardware removal. Union was achieved in all cases.