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Twenty-eight skeletally immature patients underwent 29 primary physeal bridge resections at Children's Hospital and Medical Center in Seattle, Washington. Twenty-two resections were followed for 2 years. There were 11 excellent, five good, two fair, and four poor results. Overall mean growth was 83% with 98% in the excellent group and 96% in the good group. Physeal bridge resection is an effective method of treating partial physeal growth arrest. Results with fat compare favorably with results of other interposition materials without the disadvantages of local reaction and implant removal.