“…Grafting with vascularized fibular grafts, creating dowels or inlay grafting are all considerations in the high-risk patient. 19,27,32,35,37 Biomechanical studies have improved our understanding of the best fixation techniques to reduce the risk of nonunion. 5,6,8,14,17,24,25,30,33,34 Failure of revision procedures has also been reported with relatively high rates and occasionally below-knee amputation is the final salvage operation.…”