Biological reconstruction of bone defects: The role of the free fibula flap

Arik Zaretski*, Eyal Gur, Yehuda Kollander, Isaac Meller, Shlomo Dadia

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review


This review describes the kinds of skeletal bone defects in bones which develop through enchondral ossification. It focuses on the biological reconstruction of those defects according to the two main subtypes, intercalary and osteoarticular. We list the causes of bone defects and outline the different types and configurations that result from them. We then review the currently available reconstructive options according to the patient's age and describe the theoretical options as well. Finally, the history, surgical anatomy and clinical use of the free fibula flap will be reviewed. From our own clinical experience and review of the literature, we conclude that biological reconstruction is, in many ways, superior to alloplastic materials, especially in children, adolescents and young adults.

Original languageEnglish
Pages (from-to)241-249
Number of pages9
JournalJournal of Children's Orthopaedics
Issue number4
StatePublished - Aug 2011


  • Biological reconstruction
  • Free flap
  • Limb salvage
  • Sarcoma


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