Het vrije fibulatransplantaat met herstel van de vaatvoorziening

– Conventional methods of free bone grafting to bridge a large skeletal defect have generally had poor results. The free revascularized fibular graft has a better opportunity to survive, which leads to more rapid union. It can be used for reconstruction of large defects, such as occur after trauma or resection of bone tumours.

This technique also appears very promising for the treatment of congenital tibial pseudarthrosis in neurofibromatosis. Two patients treated with such a graft are presented. The technique and indications are described.