Fibular regenerate for revision bone grafting procedure

Sequestrectomy in chronic osteomyelitis leads to large bony defect in some cases. It needs segemental bone grafting of which fibula is commonly used in children. Few instances might need revision graft due to fracture. We have done a technique of periosteal sparing fibular graft removal in a 9 year old child with the usage of regenerate of the same side for revision procedure. Donor and recipient site healed at 6 months and 2 years respectively with no ankle deformity. This is an easy and versatile technique which can be extrapolated to several other disorders requiring repeated bone graft.