Special Technical Articles“Fibula plus Ilizarov”: a Simpler Strategy Than Bone Transport for Major Bone Defects in ChildrenSubramanyam, Koushik N. MS (Ortho), MRCSEd; Mundargi, Abhishek V. DNB (Ortho); Umerjikar, Sagar D (Ortho)Author Information Department of Orthopaedics, Sri Sathya Sai Institute of Higher Medical Sciences-Prasanthigram, Puttaparthi, Andhra Pradesh, India The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. The authors declare that they have nothing to disclose. For reprint requests, or additional information and guidance on the techniques described in the article, please contact Koushik N. Subramanyam, MS (Ortho), MRCSEd, at [email protected] or by mail at Department of Orthopaedics, Sri Sathya Sai Institute of Higher Medical Sciences-Prashanthigram, Puttaparthi, Andhra Pradesh 515134, India. You may inquire whether the author(s) will agree to phone conferences and/or visits regarding these techniques. Techniques in Orthopaedics: March 2021 - Volume 36 - Issue 1 - p 45-49 doi: 10.1097/BTO.0000000000000364 Buy Metrics Abstract Bone infection in children can cause extensive diaphyseal defects that are challenging to reconstruct. We report a modified technique of ours in 2 of our patients. One was a 10-year-old boy with 8 cm tibial defect and the other was 13-year-old boy with 7 cm femoral defect. The first stage of treatment involved radical debridement, sequestrectomy, antibiotic spacer application, stabilization with conventional external fixation, and 6 weeks of antibiotic therapy. The second stage of treatment consisted of intramedullary autologous fibular strut grafting stabilized with intramedullary K-wire supplemented with corticocancellous graft and stabilized with simple Ilizarov fixator. Patients began full weight bearing walking with fixator at three months of application. Fibular graft incorporated at 4 and 8 months for the femoral and tibial defects respectively. At follow-up of 3 years both patients are independent ambulators with preserved joint range of motion. We present this simple, cost-effective, and replicable technique. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.