{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T20:29:05Z","timestamp":1773174545146,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T00:00:00Z","timestamp":1725580800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Pure vascularized periosteal transplants have been shown to be extremely effective at achieving rapid bone healing in children with biologically complex non\u2010union. Free tibial and fibular periosteal transplants are generally indicated when large periosteal flaps are necessary. We report using a vascularized femoral myo\u2010periosteal graft (VFMPG) to treat distal tibial osteotomy non\u2010union in a six\u2010year\u2010old boy with congenital pseudarthrosis of the tibia. The graft consisted of a 9\u2009cm myo\u2010periosteal flap (after 50% of elastic retraction) that incorporated the vastus intermedius muscle and diaphyseal femoral periosteum nourished by the descending branch of the lateral circumflex femoral vessels. Plantaris medialis was used as a recipient vessel. Healing occurred 10\u2009weeks after surgery. The patient resumed gait and sports activity without orthosis. No donor or recipient site complications occurred 17\u2009months after surgery. Employing a VFMPG might be an alternative to other free or large vascularized periosteal flaps currently in use for complex pediatric non\u2010unions.<\/jats:p>","DOI":"10.1002\/micr.31218","type":"journal-article","created":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T09:47:38Z","timestamp":1725616058000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Vascularized Femoral Myo\u2010Periosteal Graft for Congenital Pseudarthrosis of the Tibia: A Case Report"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1759-9868","authenticated-orcid":false,"given":"Francisco","family":"Soldado","sequence":"first","affiliation":[{"name":"Pediatric Hand Surgery and Microsurgery Barcelona Children's Hospital, HM Nens, HM Hospitales  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1137-289X","authenticated-orcid":false,"given":"Danilo","family":"Rivas\u2010Nicolls","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Hospital Universitari Vall d'Hebron  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9028-2579","authenticated-orcid":false,"given":"Juliana","family":"Rojas\u2010Neira","sequence":"additional","affiliation":[{"name":"Hand Surgery and Microsurgery Department Pontificia Javeriana University Cali  Cali Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan\u00a0J.","family":"Sevilla\u2010Tirado","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery Department General Hospital of Defense Zaragoza  Zaragoza 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