We report a case in which a free vascularized fibular head transfer was performed using reverse flow anterior tibial vessels to reconstruct the distal radius.
The patient was a 59-year-old female. She was diagnosed with a giant cell tumor of the right distal radius. Previously, she had undergone tumor resection followed by vascularized fibular transfer.
After the operation, the patient experienced bone resorption and subluxation. Her wrist pain and joint restriction continued, so we completed a free vascularized fibular head transfer.
We used reverse flow anterior tibial vessels so anastomoses were created between the distal portions of the anterior tibial vessels and the proximal portions of radial vessels without vein grafting.
Eleven years after the operation, the patient's total range of wrist joint motion was 100 degrees of flexion-extension, and she was able to clench her hand powerfully.
There have not been any complications, including fractures or collapse of the fibula head graft, in this case.