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Professional Technical IVT

free fibular graft

Vascularized autologous fibular bone transfer used for reconstruction of large bone defects after tumor resection.

Full Definition

A free fibular graft involves the microsurgical transfer of a segment of the patient's fibula along with its vascular supply to reconstruct bone defects after tumor resection. This technique provides living bone that can integrate, remodel, and potentially grow in pediatric patients, making it particularly valuable for young patients requiring long-term reconstruction. The fibular graft can be used alone for smaller defects or in combination with allografts or prostheses for larger reconstructions. The procedure requires microsurgical expertise to anastomose the fibular vessels to recipient vessels at the reconstruction site.

Usage

Usage note: Document vascular anastomoses and perfusion status in operative reports.

In Context

  • "Free fibular graft reconstruction was selected for this pediatric patient to provide growth potential." — Surgical planning conference
  • "Anastomotic patency was confirmed intraoperatively following free fibular graft placement." — Operative report

Also known as

vascularized fibular graft microvascular fibular transfer

Contrasted with

nonvascularized graft

Don't confuse with

fibular allograft fibular strut

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