Lengthening of a free fibular graft after sarcoma resection of the humerus

We report a patient who had resection of the humerus for osteosarcoma, initial reconstruction with a free fibular graft of the humerus, and subsequent lengthening of the graft. A 9-cm (100% of free fibula length) lengthening was achieved to equalize the humerus length. A complication of regenerate fracture was treated successfully with plating. Four years after the initial surgery for lengthening, the patient presented with a new radial neuropathy.