Vascularized fibular graft versus non-vascularized graft after tumor resection

Segmental bone defects from tumor resection require effective reconstructive strategies. Therefore, it is of interest to compare vascularized fibular grafting (VFG) and non-vascularized fibular grafting (NVFG) in 60 patients. VFG showed better union rates, earlier consolidation and superior graft remodeling. Functional outcomes, measured by MSTS scores, favored VFG. Although complications were similar, non-union and revision procedures were more frequent in the NVFG group. Thus, we show the advantages of VFG for reliable bone defect reconstruction.