Free vascularised bone grafts in reconstruction of the upper extremity.

Free vascularised bone grafting was performed on six patients with large segmental bone defects following trauma, osteo-cutaneous defects and large bony defects following tumour resection. A free vascularised fibular graft was performed in five patients and a free iliac osteo-cutaneous flap was performed in one patient. In all patients, bony fusion was achieved by two to three months, without infection or recurrence of bone tumour. The donor site deficit was minimal.