“…16,[25][26][27][28]36,[38][39][40]67 In the proximal tibia, the gastrocnemius fl ap can be reinforced using various materials such as artifi cial acrylic meshes (eg, Lars, Trevira) or other biologically derived devices. 19,24,39,[42][43][44][45] In the proximal humerus, the use of an Aortograft mesh 24,37,[42][43][44] has been suggested and reported by Marulanda et al 44 to decrease the risk of dislocation and subluxation of the reconstructed shoulder. Similar techniques, with appropriate modifi cations, could be applied during proximal femur and proximal tibia reconstructions.…”