Fig. 5.

The evaluation of bioceramics and vascularized fibula.

A: SPECT (Coronal position) showed the fibula flaps were survived.

B: CT (Axial position), the orange arrow orange indicated the vascularized fibula; the green arrow indicated the β-TCP bioceramic granules.

C: SPECT/CT (Axial position), showing high metabolic activities in the vascularized fibula and the surrounding β-TCP bioceramic granucles.

D: X-ray: one week after operation, the initial position of the vascularized fibula (the blue arrow), bioceramic granules (the red arrow) and allograft fibula (the yellow arrow).

E: X-ray: 21 months after operation, ‘umbrella like’ bone formation was observed at the end of the vascularized fibula (the blue arrow); bioceramic granules were degraded for new bone formation (red arrow); the allograft fibula and the remaining bone were linked together (red arrow). (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)