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Free vascularized fibular graft can be transferred to reconstruct
skeletal defects of the extremities. It may be combined with skin,
fascia, muscle, and growth-plate tissue to address the needs of the
recipient site. It may be cut transversely and folded to
reconstruct the length and width of tibial or femoral defects. The
main indications for this graft are defects larger than 5 to 6 cm
or with poor vascularity of the surrounding soft tissues. Detailed
preoperative planning, experience in microvascular techniques, and
careful postoperative follow-up are necessary to minimize
complications and improve outcome.
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