Reconstruction using a free vascularized fibula was performed on a long bony defect after osteomyelitis of the proximal femur. For this type of bone defect, a double-barrel fibular graft is recommended. The authors used this procedure for a 58-year-old male who had osteomyelitis of the left proximal femur. As osteotomy through a transplanted fibula can be safely performed, abduction osteotomy should be considered when coxa vara remains after reconstruction with a free vascularized fibula transfer.
KEYWORDS
Osteomyelitis - proximal femur - vascularized fibular transfer
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Masakazu NakamasuM.D.
Ohte-machi 2-6-5, Matsuyama
Ehime 790-0034, Japan
