Segmental bone defects are difficult to reconstruct.1 Bone grafting alone is associated with uncontrollable graft resorption,2 even when the recipient site is well vascularised.3 Historically, such defects have been associated with a high rate of amputation.4 The most common methods of treating a segmental bone defect are either with the use of a vascularised fibular autograft or by bone transport using the Ilizarov technique.5,6 Although vascularised fibular autografts have distinct benefits...