Reverse‐flow vascularized fibular graft: A new method

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Abstract
The reverse‐flow island flap is a relatively recent concept. We have applied this concept to the vascularized bone graft. We report a new method of the reverse‐flow vascularized fibular graft for two patients with a pseudarthrosis and massive bone defect of the tibia. The peroneal artery and venae comitantes were severed proximally and elevated with the fibula while maintaining distal vascular continuity. The reverse‐flow vascularized fibula was grafted to the posterior aspect of the bone defect of the tibia. Bony union was obtained in both cases. The reverse‐flow vascularized fibular graft has many advantages compared with free vascularized fibular graft.