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Seventeen patients matched as much as possible in regard to location of defect (femur, tibia, ankle) and aetiology (traumatic defect, osteomyelitis) were studied in each group. Data collected included number of prior operative procedures, length of bony defect, presence or absence of associated soft tissue loss, the final clinical and radiographic result, technique of bone immobilisation and duration to union, complications including patency of microvascular anastomoses (if known) and nature and number of additional operative procedures. The outcome of this study suggests that, for reconstruction of the femur or tibia bridging a defect greater than 10 cms, fibula transfer yielded a satisfactory outcome. For defects less than 10 cms resulting from debridement for osteomyelitis, iliac crest transfer yielded a more favourable result. Moreover, the iliac crest appeared to be more optimal than the fibula for reconstruction about the ankle regardless of aetiology. \u00a9 1995 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/micr.1920161209","type":"journal-article","created":{"date-parts":[[2007,3,4]],"date-time":"2007-03-04T23:36:53Z","timestamp":1173051413000},"page":"818-826","source":"Crossref","is-referenced-by-count":41,"title":["Comparison of vascularised iliac crest and vascularised fibula transfer for reconstruction of segmental and partial bone defects in long bones of the lower extremity"],"prefix":"10.1002","volume":"16","author":[{"given":"Robert","family":"Hierner","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael B.","family":"Wood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,10,19]]},"reference":[{"key":"e_1_2_1_2_2","first-page":"10","article-title":"The composite fibula and soleus transfer","volume":"5","author":"Baudet J","year":"1983","journal-title":"International Journal of Microsurgery"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01557970"},{"key":"e_1_2_1_4_2","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1302\/0301-620X.70B2.3346315","article-title":"The blood supply of the osteocutaneous free fibular graft","volume":"70","author":"Carr AJ","year":"1988","journal-title":"Journal of Bone and Joint Surgery"},{"key":"e_1_2_1_5_2","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1302\/0301-620X.63B2.7217150","article-title":"Vascular pedicle graft of the ipsilateral fibula for non\u2010union of the tibia with a large defect: An experimental and clinical study","volume":"63","author":"Chacha PB","year":"1981","journal-title":"Journal of Bone and Joint Surgery"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1007024"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00269869"},{"key":"e_1_2_1_8_2","first-page":"396","article-title":"The fibular blood supply","volume":"94","author":"Fen G","year":"1981","journal-title":"Chinese Medical Journal"},{"key":"e_1_2_1_9_2","first-page":"100","article-title":"Vascularised transfer of the fibular shaft","volume":"1","author":"Gilbert A","year":"1979","journal-title":"International Journal of Microsurgery"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1006879"},{"key":"e_1_2_1_11_2","unstructured":"HiernerR: Der vaskularisierte Fibulatransfer\u2014Literatur\u00fcberblick und tierexperimentelle Modifikationen. 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