TABLE X.

Advantages and Disadvantages of Various Vascularized Bone-Grafting Techniques

Technique	Advantages	Disadvantages
Lateral femoral circumflex vessel-pedicled iliac bone	Minimal donor-site morbidity	Potential damage to lateral femoral cutaneous and ilioinguinal nerves
	Corticocancellous, unicortical, or bicortical bone
	Large amounts of cancellous bone can be harvested as additional graft material
	Long, large-diameter pedicle facilitates blood flow
	No need for microsurgery
Greater trochanter flap	No need for microsurgery	May not provide as much support as fibular grafts
Free vascularized fibular graft	Endosteal and periosteal blood supply	No cancellous bone
	Dual blood supply allows for different osteotomies	Flexor hallucis longus contracture
	Cortical bone provides good structural support	Claw toe deformity
		Peroneal nerve injury
		Gait alterations
		Ankle instability
Sartorius muscle-pedicled iliac bone	No need for microsurgery	May not provide as much support as fibular grafts
Gluteus medius-pedicled greater trochanter flap	No need for microsurgery	May affect hip mobility
		May not provide as much support as fibular grafts