Reconstruction of the humerus by soft tissue distraction and vascularized

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fibula transfer. Jupiter JB. Kour AK. Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, Mass 02114. J Hand Surg [Am]. 16(5):940-3, 1991 Sep. We report a case of reconstruction of the humeral shaft by soft tissue lengthening according to the method of Ilizarov, followed by skeletal reconstruction with a vascularized fibular graft. Skeletal union and initiation of functional activity were achieved within 4 months. Lengthening of the soft tissue and the vascular tree by slow distraction did not compromise the subsequent reconstructive microsurgical procedure.