In 1975, vascularized fibular graft for the treatment of open fracture of tibla and fibula was Jirst reported by Taylor with success in one patient. Later, in 1977 Buncke reported using vascularized free rib to repair traumatic defect of the tlbia and mandible In 1978. OBrien reported the advantages of the vascularlzed bone transfer and in our country, Lee. et al reported successful transfer of the vascularized osteocutaneous flap at 1983.