The current role of the vascularized-fibular osteocutaneous graft in the treatment of segmental defects of the upper extremity.

Large osseous defects of the upper extremity can be a challenging problem for the reconstructive surgeon. There are numerous treatment options reported in the literature with variable results. We review our experience with the vascularized-fibular osteocutaneous graft for these complex defects with a focus on surgical techniques and outcomes.