Vascularized Fibular Grafting Treatment in Turkey
About Vascularized Fibular Grafting
Key Highlights
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Uses the patient's own living bone, reducing rejection risk.Promotes faster and more robust bone healing due to preserved blood supply.Effective for reconstructing large bone defects (6 cm) where other grafts may fail.Can be used to salvage limbs that might otherwise require amputation.Provides both structural support and biological healing potential.
Who is this surgery for?
- Large segmental bone defects from severe trauma or compound fractures.
- Reconstruction following surgical removal (resection) of a bone tumor.
- Treatment of non-union or failed fracture healing where other methods have been unsuccessful.
- Osteomyelitis (bone infection) resulting in significant bone loss.
- Salvage procedure for failed total joint arthroplasty (e.g., knee or hip) with major bone loss.
- Congenital limb length discrepancies or deformities requiring bone augmentation.
How to prepare
- Comprehensive medical evaluation including blood tests, ECG, and chest X-ray.
- Detailed imaging of both the donor (leg) and recipient sites using CT scans and angiography (MRA/CTA) to map blood vessels.
- Discussion of the procedure's risks, benefits, and expected outcomes with the surgical team.
- Pre-operative physiotherapy to strengthen the donor leg and prepare for post-op mobility.
- Discontinuation of certain medications (like blood thinners) as advised by the doctor.
- Fasting for 8-12 hours before the surgery as per anesthesia guidelines.
Risks & possible complications
- Infection at the donor or recipient surgical site.
- Donor site morbidity, including pain, weakness, or instability in the ankle.
- Failure of the graft to heal (non-union) or graft fracture.
- Damage to nerves near the fibula, potentially causing foot drop or numbness.
- Compartment syndrome in the donor leg.
- Blood clot formation (deep vein thrombosis).
- Compromise of blood flow to the graft (vascular compromise), leading to graft failure.
- Anesthetic risks.
Recovery & hospital stay
- Initial hospital stay for monitoring graft viability, pain management, and wound care.
- The recipient limb (e.g., arm or leg) will be immobilized in a cast or brace for several weeks.
- Strict non-weight bearing on the donor leg for 6-8 weeks, using crutches or a walker.
- Gradual introduction of weight-bearing and physical therapy for both limbs as healing progresses.
- Regular follow-up visits with X-rays to monitor bone healing and integration.
- Long-term rehabilitation to restore strength, range of motion, and function.
- Possible use of a protective ankle brace on the donor leg during activities.
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Typical hospital stay:
7-14 days
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Expected recovery time:
6-12 months for full functional recovery
Frequently Asked Questions
If you are considering vascularized fibular grafting in Turkey, these questions and answers can help you make a confident, informed decision.
Popular choices for vascularized fibular grafting in Turkey include Istinye Üniversitesi Hastanesi Liv, Liv Hospital Bahçeşehir, Liv Hospital Bahçeşehir, Liv Hospital Ankara, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform vascularized fibular grafting. MediFyr helps you compare orthopedists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for vascularized fibular grafting compare across other countries where we have data.
Top hospitals for Vascularized Fibular Grafting in Turkey
These partner hospitals in Turkey have dedicated orthopedics teams and experience managing patients undergoing vascularized fibular grafting.
Istanbul, Turkey
140 Doctors
Ishaan Smith, a 28-year-old construction foreman...
Ishaan Smith, a 28-year-old construction foreman and weekend soccer enthusiast, had his life upended when a severe motorcycle accident left him with a complex, non-healing fracture in his right tibia. Despite multiple surgeries and months in a cast, the bone failed to unite, a condition diagnosed as a nonunion. The persistent pain and instability meant he couldn't bear weight, forcing him onto crutches and away from his active job and hobbies. His orthopedic surgeon, Dr. Evans, explained that the bone lacked adequate blood supply to heal. She recommended a vascularized fibular graft, a procedure that would take a segment of his own fibula, along with its blood vessels, from his left leg and transplant it into the tibial defect to stimulate new bone growth. The 8-hour surgery was daunting, and the initial recovery was challenging, with pain in both legs and strict non-weight-bearing restrictions. However, after six months of dedicated physical therapy and gradual weight-bearing, scans showed solid bone fusion. A year later, Ishaan walks without a limp, has returned to light duty at work, and coaches his nephew's soccer team from the sidelines. His emotional journey was a rollercoaster from the frustration and depression of a stalled recovery to immense relief and cautious optimism as he regained his independence and a sense of forward progress.
Orthopedists for Vascularized Fibular Grafting
Explore experienced orthopedists who regularly perform vascularized fibular grafting and provide pre- and post-operative care in Turkey.
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