| Objective To analyze the curative effect of vascularized fibular skeletal flaps from the other side in treatment of soft tissue and bone defects after severe open injury on Mid-distal of lower leg.Method A total of 11 patients with severe comminuted fractures of tibia,skin and soft tissue defects were reconstructed by using vascularized fibular skeletal flaps at first stage after thorough debridement. Result After the following - up of 6 to 24 months , severe comminuted fractures of tibia was healed. No amputation was needed and no chronic osteomyelitis occurred. The circulation of revascularized limbs was good and the contour and function were restored satisfactorily. Conclusion It is a reliable choice to repair the soft tissue and bone defects after severe open injury on Mid-distal of lower leg by using vascularized fibular skeletal flaps. |