The incidence of major trauma due to road traffic accidents and other causes have not reduced inspite of safer roads and vehicles. Road traffic accidents are one of the major causes of mortality and morbidity in the age group of 15-44 years. The severely traumatized lower extremity presents a complex problem to the reconstructive surgeon. This book gives a comprehensive insight about the feasibility of the free vascularized fibula for tibial reconstruction. It studies the various aspects of vascularized bone healing including the time to union, the rate of hypertrophy and also the associated complications of the procedure. It also covers the steps of the operative technique with illustrations. This book should be especially useful for the reconstructive microsurgeons who are dealing with complex extremity injuries as well as the beginner who wants to learn the basics of lower limb reconstruction.
Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. The Bosworth fracture is a rare fracture of the distal fibula with an associated fixed posterior dislocation of the proximal fibular fragment which becomes trapped behind the posterior tibial tubercle. The injury is caused by severe external rotation of the ankle. The ankle remains externally rotated after the injury, making interpretation of X-rays difficult which can lead to misdiagnosis and incorrect treatment. The injury is most commonly treated by open reduction internal fixation as closed reduction is made difficult by the entrapment of the fibula behind the tibia.The entrapment of an intact fibula behind the tibia was described by Ashhurst and Bromer in 1922, who attributed the description of the mechanism of injury to Huguier's 1848 publication. The injury involving fibular fracture with posterior dislocation was described by David M. Bosworth in 1947.