Fig. 5.

The longitudinal growth of the vascularized fibula epiphyseal transfer for reconstruction of the proximal humerus. Radiographs were obtained at each consecutive year post transplant, and fibula length was measured from the humeral head to the olecranon process. Overall, patients demonstrated steady and continued growth of the transplanted fibula. Patient 1 did not have radiographs available for analysis between years 2 and 8. Patients 3 and 4 were followed until their most recent clinical visit, which was 4 years postoperatively. The average growth rate per year was 0.54 cm.