Physeal Transfers for Skeletal Reconstruction

In this article, we present the common methods of vascularized and nonvascularized physeal transfers with an emphasis on vascularized fibula physeal transfers. Physeal transfers are important in skeletally immature patients in whom continued growth of the limb is desired. Physeal transfers now represent the state of the art method for reconstruction of pediatric long bones for reasons including tumor resection, congenital deformities and trauma. This form of reconstruction can produce functional and durable results.