The future of free vascularized fibular grafts in oncologic spinal and pelvic reconstruction

Grant R. McChesney, Alexander F. Mericli, Laurence D. Rhines, Justin E. Bird


The free vascularized fibular graft (FVFG) was first described in 1975 as a solution for large bone defects in orthopedic trauma (1). Since its appearance, the FVFG emerged as the first-line option for a number of reconstructions, including intercalary defects of the upper and lower extremities, craniofacial defects, as well as pelvis and spine applications.