Citation: Plastic and Reconstructive Surgery - Global Open. 4(12):e1143, 2016 Dec.Journal: Plastic and reconstructive surgery. Global open.Published: 2016ISSN: 2169-7574.Full author list: Shuck J; Wood BC; Zarella C; Oh AK; Henshaw RM; Rogers GF.UI/PMID: 28293503.Subject(s): IN PROCESS -- NOT YET INDEXEDInstitution(s): MedStar Washington Hospital CenterDepartment(s): Orthopedic OncologyActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access onlineDigital Object Identifier: https://dx.doi.org/10.1097/GOX.0000000000001143 (Click here)Abbreviated citation: Plast. reconstr. surg., Glob. open. 4(12):e1143, 2016 Dec.Abstract: Vascularized free fibula transfer remains the gold standard for reconstruction of large segmental diaphyseal defects of the upper extremity. In the pediatric patient, before skeletal maturity, free fibula transfer with the fibular head provides an active physis for growth and an articular interface for glenohumeral joint reconstruction. Clinical and cadaveric studies have demonstrated that the vascular supply to the fibular head originates, in most cases, from the anterior tibial system. However, anatomical variation exists, and we report a case in which a vascularized fibula autograft including the physis was transferred on the peroneal artery in a 5-year-old patient with Ewing's sarcoma. At 15-month follow-up, the patient has functional range of motion of the shoulder.