K Muramatsu, K Ihara, M Shigetomi, S Kawai

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Femoral reconstruction by single, folded or double free vascularised fibular grafts K Muramatsu, K Ihara, M Shigetomi, S Kawai British Journal of Plastic Surgery Volume 57, Issue 6, Pages 550-555 (September 2004) DOI: 10.1016/j.bjps.2003.08.021

Figure 1 (Case 10) A 23-year-old man with a malignant fibrous histiocytoma of the left femur shaft. (A) One month postoperatively. After the residual femur was anatomically fixed by intramedullar interlocking rod, 12 cm femur defect was reconstructed by a 26 cm long folded fibula graft. (B) One year postoperatively. Bony union at both junctions was achieved within 6 months postoperatively. Inlay fibula graft showed remarkable hypertrophy at all levels but onlay graft showed slight hypertrophy. (C) Two years postoperatively. Intramedullar interlocking rod was removed without any complication. British Journal of Plastic Surgery 2004 57, 550-555DOI: (10.1016/j.bjps.2003.08.021)