{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T20:29:06Z","timestamp":1773174546597,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,7,6]],"date-time":"2021-07-06T00:00:00Z","timestamp":1625529600000},"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":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Vascularized periosteal flaps have been reported as very effective for treating biologically complex bone nonunion in pediatric patients, owing to their high angiogenic and osteogenic potentials. The purpose of this article is to report a case of a 6\u2010year\u2010old patient with nonunion involving both forearms and a very limited bone flap donor site in the context of prior bilateral transfemoral amputation due to meningococcal sepsis. Two free vascularized iliac periosteal flaps (VIPF), supplied by the deep circumflex iliac vessels, were used in two stages to reconstruct the forearms. In the first stage, the left forearm, which had a diaphyseal bone defect of 5\u00a0cm diameter in the ulna and 4\u00a0cm in the radius, was combined with an iliac\u2010crest bone allograft, fixed with two longitudinal 1.8\u2009mm Kirschner wires and surrounded with a free VIPF of 24\u2009cm<jats:sup>2<\/jats:sup>. Consolidation was achieved 3\u2009months after left forearm surgery, while complete allograft revascularization and remodeling was observed at 12\u2009months. In the second stage, the right forearm, which had a diaphyseal bone defect of 3\u00a0cm diameter in the ulna and 1\u00a0cm in the radius, was fixed the radius with a 2.7\u2009mm plate and surrounded with a free VIPF of 24\u2009cm<jats:sup>2<\/jats:sup>. The radius nonunion healed 6\u2009weeks after surgery. There were no postoperative complications. Two years postoperatively, the patient had again resumed his arm gait painlessly and without a splint. VIPF may be considered a valuable and reliable surgical option for nonunion reconstruction in complex clinical scenarios in children.<\/jats:p>","DOI":"10.1002\/micr.30782","type":"journal-article","created":{"date-parts":[[2021,7,6]],"date-time":"2021-07-06T13:49:45Z","timestamp":1625579385000},"page":"579-583","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Free vascularized iliac periosteal graft for bilateral forearm nonunion reconstruction in a child with bilateral transfemoral amputation"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1759-9868","authenticated-orcid":false,"given":"Francisco","family":"Soldado","sequence":"first","affiliation":[{"name":"Orthopedic Surgery Barcelona University Childrens Hospital HM Nens  Barcelona Spain"},{"name":"Unidad UCA Mikel Sanchez, Vithas San Jos\u00e9  Vitoria\u2010Gasteiz Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6820-3494","authenticated-orcid":false,"given":"Sergi","family":"Barrera\u2010Ochoa","sequence":"additional","affiliation":[{"name":"icatMA Hand and Microsurgery Unit ICATME, Hospital Universitari Quiron\u2010Dexeus  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Campillo\u2010Recio","sequence":"additional","affiliation":[{"name":"icatMA Hand and Microsurgery Unit ICATME, Hospital Universitari Quiron\u2010Dexeus  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Quynh","family":"Nguyen\u2010Saint\u2010Paul","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedic Unit Saint Paul Hospital  Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdelmounim","family":"Cherqaoui","sequence":"additional","affiliation":[{"name":"Service d'orthop\u00e9die P\u00e9diatrique H\u00f4pital d'Enfants A. Harouchi, Universit\u00e9 de M\u00e9decine Hassan 2  Casablanca Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Kn\u00f6rr","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery Barcelona University Childrens Hospital HM Nens  Barcelona Spain"},{"name":"Unidad UCA Mikel Sanchez, Vithas San Jos\u00e9  Vitoria\u2010Gasteiz Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,6]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000187991.71645.e7"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1081406"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1676083"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30261"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30208"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02012440"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.01.023"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30011"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1673705"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000000400"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-013-0395-0"},{"key":"e_1_2_5_13_1","first-page":"264","article-title":"Treatment of substance loss of the bones of the leg in traumatology by transfer of the free vascularized iliac crest. 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