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(a) A 24-year-old lady with Gustilo IIIB injury with circumferential soft-tissue loss and avascular tibial segment. Referred after failed attempts of both gastrocnemius flap. (b) Harvesting of fibula 12 cm with skin paddle. (c) Reconstructed tibial defect and soft-tissue following 1 year. (d) Osseous union of vascularised fibula
