The injury of the epiphysis or epiphyseal plate produces undesirable effects on the normal growth of the bone, such as bone bridge, growth arrest and angular deformity. Authors performed vascularized fibular epiphysis and epiphyseal plate transplantation in 7 years old girl, who received the excision of the exostosis on distal ulna, followed by progressive varus deformity of right forearm and growth arrest of distal ulna. With follow -up period of up to 20 months, transplanted epiphysis shows normal growth and varus deformity of the forearm is fully corrected. Vascularized epiphysis and epiphyseal plate transplantation is benefit for the treatment of the injured epiphysis or epiphyseal plate, as a replacement method.