Fibular strut graft placement for an open distal femur fracture with a critical bone defect: A case report.

Case: We herein present a case involving a 23-year-old man with an open fracture of the distal portion of the left femoral diaphysis, substantial bone loss, and soft tissue injuries. He was initially treated with antibiotics, limb stabilization, and surgical debridement. On the sixth day, he underwent internal fixation and fibular strut graft placement for bone defect restoration. After 4 years, osteosynthesis, perfect graft integration and consolidation, excellent knee functionality, and painless gait were evident. Conclusion: Preservation of bone and soft tissue vitality, complete debridement, antibiotic therapy, and early limb stabilization are all crucial factors for restoring knee functionality.