Abstract
In 1905, Huntington documented the pedicled transfer of a vascularized fibular bone for the treatment of a segmental tibial defect.[1] Since Huntington's original report, the realm of vascularized bone grafting has grown substantially, particularly with advances in microvascular technique. Vascularized bone grafts provide many benefits over conventional bone grafting including the potential for primary osteogenesis and bone graft hypertrophy while providing enhanced resistance to infection. Newer techniques have added the ability to transfer viable growth plates as well articular cartilage, creating further reconstructive options for the surgeon.
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