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Mean leg length discrepancy was 1.3cm (0 to 2.3). At the last follow-up visit, all patients were able to ambulate. For children following oncological resection of the femoral head, reconstruction with a vascularized epiphyso-diaphyseal fibula flap combined with radius allograft is a safe option. This procedure provides encouraging functional results and avoids the complications of previously published techniques or implants. For children following oncological resection of the femoral head, reconstruction with a vascularized epiphyso-di