The incidence of major trauma due to road traffic accidents and other causes have not reduced inspite of safer roads and vehicles. Road traffic accidents are one of the major causes of mortality and morbidity in the age group of 15-44 years. The severely traumatized lower extremity presents a complex problem to the reconstructive surgeon. This book gives a comprehensive insight about the feasibility of the free vascularized fibula for tibial reconstruction. It studies the various aspects of vascularized bone healing including the time to union, the rate of hypertrophy and also the associated complications of the procedure. It also covers the steps of the operative technique with illustrations. This book should be especially useful for the reconstructive microsurgeons who are dealing with complex extremity injuries as well as the beginner who wants to learn the basics of lower limb reconstruction.