Figure 61-6 Three months after en bloc resection and reconstruction with a vascularized fibular graft augmented with autogenous cancellous graft using external fixation for immobilization. (From Hsu RW, Wood MB, Sim FH, et al: Free vascularised fibular grafting for reconstruction after tumour resection. J Bone Joint Surg Br 79:36–42, 1997.)