Tips to secure healing at the free vascularised fibular graft-to-host bone junction

Abstract The most commonly used vascularized bone graft in Orthopedics for difficult reconstructive problems requiring biological augmentation properties is the fibula, which provides immediate structure and with a patent pedicle, increases blood flow at the recipient site, promotes healing and hypertrophy in response to mechanical stress. The vascular supply from the nutrient branch and the periosteal vessels allows a variety of graft harvesting configurations for a broad spectrum of reconstructive challenges. We present the details on how to optimize healing and graft incorporation at the junction sites.