FREE FIBULAR GRAFT STILL HAS A PLACE IN THE TREATMENT OF BONE DEFECTS

We report on 27 patients illustrating the use of non-vascularized sing le fibular strut graft, augmented with a corticocancellous bone graft to bridge bone defects. The indications were varied and included infec tion, fracture with bone loss, non-union, bone tumour, bone cyst and c ongenital pseudarthrosis. Primary union was achieved in 92 per cent. S tress fracture occurred in 26 per cent and no significant fibular graf t hypertrophy occurred. The aim of this paper is to show that the non- vascularized single fibular graft, if augmented with corticocancellous bone graft along its whole length, is a simple procedure that is stil l valid to bridge bone defects.