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Free Fibula Flap for Bone Lost Complicated with Recalcitrant Osteomyelitis

Year: 2025

Type: article

Abstract: This article presents a compelling clinical case of a 36-year-old male with a severe gunshot injury resulting in significant tibial bone loss and recalcitrant osteomyelitis. After failed conventional treatments, successful reconstruction was achieved using a **free vascularized fibula flap**. The case highlights the dual advantage of this technique: it provides robust structural support to bridge large bone defects and, uniquely, enhances infection control by delivering a rich, independent blood supply that carries antibiotics directly to the infection site. Follow-up at seven months confirms excellent bony union and graft hypertrophy, demonstrating the flap's superiority in managing complex, infected bone non-unions.

Source: Zenodo (CERN European Organization for Nuclear Research)

DOI: 10.5281/zenodo.17182889

Author: MANSOUR, Ammar

Language: English

Topic: Reconstructive Surgery and Microvascular Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W7083027286

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