Free Fibular Flap and Fibular Graft Double-Strut Tunneling to Fill a Large Tibial Plateau Defect.

Introduction: Bony defects resulting from trauma, osteomyelitis, and tumor resection pose significant reconstructive challenges. Free fibular flaps (FFFs) are an excellent option, especially for large defects in the tibia. Case presentation: In this article, the authors review a case of a 60-year-old male who underwent FFF and fibular graft double-strut tunneling to fill a large tibial plateau defect. Conclusion: The use of the FFF provides an excellent option for reconstructing long bone large defects (defects > 6 cm). The case presented in this report indicates an expanded application of this technique in treating defects secondary to chronic osteomyelitis in infected tibial plateau nonunion.