Transposition of the fibula on the supplying vascular pedicle for plasty of defects in the distal femur

After preliminary experimental study the bone plasty with vascularised fibular graft was performed to 9 patients distal femur defects from 1 18 cm. Taking into account advantages and shortcoming of procedure several variants for transposition grafts were elaborated. They included gradual lengthening vascular pedicle, use doubled increase mechanical strength. In all restoration weight-bearing ability limb achieved by year after surgery.