FIGURE 17.1 The skin paddle is placed in the distal third to take advantage of the septocutaneous perforators. More proximal perforators are musculocutaneous. Note that this skin paddle has a dual sensory nerve supply, from a recurrent branch of the superficial peroneal nerve (SPN), and from the lateral sural cutaneous nerve (LSCN).
Regardless of the type of fibular flap being harvested, osseocutaneous or bone-only flap, my preference is to harvest the fibula through a lateral approach. Figure 17.2
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