Figure 2.

(a) Crush injury leg, Gustilo-IIIB type with circumferential skin loss and loss of lower third of tibia and fibula in a 55-year-old lady. Circumferential raw area was skin grafted and reconstruction planned with osteocutaneous free fibula flap. Posterior tibial artery was the only perfusing vessel. (b) Anastomosis end to side in the zone of injury to the posterior tibial vessels. (c) Anastomotic site covered with skin paddle. (d) Well healed flap with normal ambulation and weigh bearing without support at 22 months post surgery.(e) Stable osseous union at 38 months post reconstruction