Gunshot upper extremity injury reconstructed with a fibula osteoseptocutaneous free flap (case report).

The management of upper extremity gunshot wound with soft tissue and bone injuries remains a remarkable problem and often requires sophisticated reconstructive strategies.There are limited reconstructive options for the treatment of segmental bone defects of the upper extremity exceeding 6 cm in length, especially when associated with soft tissue loss. Among the limited treatment options, the osteoseptocutaneous fibular transplantation is well established.