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Figure 1. Characteristics of vascularized bone graft options for traumatic lower extremity bone defect reconstruction.
Figure 2. Selecting a vascularized bone graft for lower extremity traumatic bone defects in adults. *The optimal timing for soft tissue
reconstruction and vascularized bone grafting should be determined on a case-by-case basis, keeping in mind the limitations of each
approach. VBG: Vascularized bone graft.
for flap monitoring. Additionally, this bone flap has an endosteal and periosteal blood supply, which allows
for the option to create a double-barrel construct with a single pedicle using a transverse osteotomy in the
diaphysis of the graft for femur or tibial reconstruction . For large intercalary defects of the femur, the
[18]
vascularized fibular graft can be combined with a massive cortical allograft (Capanna technique). The
