A 22 year old male patient visited the hospital, a known case of low grade osteogenic sarcoma with pathological fracture and bad open biopsy scar over lower portion of the leg above ankle. The patient has visited most renowned 3 to 4 corporate hopsitals in Hyderabad where everyone has adviced for below knee amputation. Finally he visited Dr Kishore B Reddy,he performed Limb Salvage surgery. We have performed a wide excision of distal tibia along with the bad biopsy scar and reconstructed with vascular fibula strut graft. The patient is happy and indepedent performing his daily routine normally for last 5 years with full function of his ankle.