Leg Allo-Combo Fibula Reconstruction

Resection of tumours of the femur and tibia around the knee and ankle joints results in large bony defects. Often arthrodesis is an alternative. In an immunocompromised patient, the vascularized fibula is the best form of reconstruction. The vascularised fibular flap (pedicled/free) can be used in combination with an allograft. The combination reconstruction is called as ‘allocombo’. The vascularized fibular graft hypertrophies in due course of time, and till that period, the allograft provides the required mechanical strength to allow early ambulation.