Introduction: Bony defects resulting from trauma, osteomyelitis, and tumor resection pose significant reconstructive challenges. Free fibular flaps (FFFs) are an excellent option, especially for large defects in the tibia.
Case presentation: In this article, the authors review a case of a 60-year-old male who underwent FFF and fibular graft double-strut tunneling to fill a large tibial plateau defect.
Conclusion: The use of the FFF provides an excellent option for reconstructing long bone large defects (defects > 6 cm). The case presented in this report indicates an expanded application of this technique in treating defects secondary to chronic osteomyelitis in infected tibial plateau nonunion.
Keywords: Fibula; Free Tissue Flaps; Osteomyelitis; Reconstructive Surgical Procedures; Tibia.
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