Vascularized grafts, are not only structurally resilient but also can skip the creeping substitution stage and move on to the consolidation and hypertrophy stage, thanks to their nourishment vessels; presence of own vascular structures stimulate rapid hypertrophy. Vascularized grafts, on the other hand, are not only structurally resilient but also can skip the creeping substitution stage and move on to the consolidation and hypertrophy stage, thanks to their nourishment vessels; presence of own vascular structures stimulate rapid hypertrophy. With growing experience and the advances in microvascular surgery over the years, it has become common practice to use vascularized grafts, harvested from the iliac crest, scapula, radius and other areas, for various purposes. a key reason for opting for using vascularized grafts is that they are suitable for repairing large bone defects. Vascularized bone transfers may have better prognosis for posttraumatic patients who suffer from massive bone defects.