{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T16:12:06Z","timestamp":1769011926095,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Conventional grafts do not perform well in the treatment of large diaphyseal bone defects. Forearm nonunions are especially challenging due to complex biomechanical and kinematic demands. Free bone flaps may yield more predictable bony restoration in these cases, while keeping morbidity acceptable to the patient. We aim to illustrate one combination of flaps which can be used in these conditions. This article reports on a 23\u2009year old patient with an 8\u00a0cm diaphyseal nonunion of the radius and a similar 7\u00a0cm defect of the ulna after infection of fracture fixation hardware. The radius was treated with a free fibular flap (FFF) and the ulna with a medial femoral condyle (MFC) flap in a staged procedure after initial debridement. The patient was followed up for 6\u00a0months without significant complications. Both flaps healed within 3\u00a0months, yet the MFC demonstrated faster bony incorporation. We attributed this to the spongious nature of the MFC flap compared to the thick cortical FFF. This case report hopes to illustrate one type of flap combination for extensive forearm bone defects. The selection and approach minimizes donor site morbidity to a single limb and possibly hastens bony union of the forearm.<\/jats:p>","DOI":"10.1002\/micr.30750","type":"journal-article","created":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T12:47:16Z","timestamp":1619873236000},"page":"666-670","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Reconstruction of an infected midshaft radius and ulna nonunion using a free vascularized fibula and medial femoral condyle flap"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2972-4232","authenticated-orcid":false,"given":"Laurent","family":"Willemot","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Ghent University Hospital  Ghent Belgium"},{"name":"Department of Hand Surgery and Peripheral Nerve Surgery Royal North Shore Hospital  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Stewart","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery and Peripheral Nerve Surgery Royal North Shore Hospital  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Lawson","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery and Peripheral Nerve Surgery Royal North Shore Hospital  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20067"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.07.021"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e318056d6b5"},{"issue":"5","key":"e_1_2_6_5_1","first-page":"611","article-title":"Treatment of non\u2010union of forearm bones with a free vascularised corticoperiosteal flap from the medial femoral condyle","volume":"75","author":"De Smet L.","year":"2009","journal-title":"Acta Orthopaedica Belgica"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(84)80006-4"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10080-1411"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2014-208992"},{"issue":"1","key":"e_1_2_6_9_1","first-page":"A59","article-title":"Cancellous bone graft for skeletal reconstruction. Muscular versus periosteal bed\u2014Preliminary report","volume":"25","author":"Hertel R.","year":"1994","journal-title":"Injury"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2013.02.005"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2012.08.005"},{"issue":"5","key":"e_1_2_6_12_1","first-page":"469","article-title":"Reconstruction des pertes de substances osseuses des membres par transfert libre de p\u00e9ron\u00e9 vascularis\u00e9 [Reconstruction of loss of bony substance in limbs by free vascularized fibula transplant]","volume":"117","author":"Judet H.","year":"1991","journal-title":"Chirurgie"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199704000-00009"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1558944716643305"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000227742.66799.74"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31817e9d1a"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193416650171"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200409000-00010"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198808000-00017"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1090603"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199102000-00011"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20862"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)00466-2"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2007.01.002"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1000131"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.07.029"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30750","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/micr.30750","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30750","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T12:46:02Z","timestamp":1693313162000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.30750"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":25,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1002\/micr.30750"],"URL":"https:\/\/doi.org\/10.1002\/micr.30750","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5]]},"assertion":[{"value":"2020-09-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}