{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:09:01Z","timestamp":1786118941388,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Distal radius fractures are common among adults. Despite being a rare complication, occurring in only 0.2 % of the cases, non-union poses significant treatment challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>In this article, we report the case of a 43-year-old male with a history of distal radius fracture resulting from a motorcycle accident. His initial treatment consisted of external fixation followed by a distraction plate and internal fixation with volar plate and screws. Due to plate breakage, he underwent refixation with a volar plate and autologous bone graft six months after the accident. However, five months after surgery, CT-scans showed a radius non-union. This led to a multidisciplinary approach involving orthopaedic and plastic surgery teams, where the patient underwent distal radius reconstruction using a free fibula flap. Postoperative recovery led to favourable outcomes with evidence of bony consolidation at six-month follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Conventional techniques for distal radius non-union treatment may fall short in achieving bony continuity in a non-suitable soft tissue environment. Free vascularised fibular flap has emerged as a primary option for long bone reconstruction, offering advantages such as anatomical compatibility and immediate structural support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case highlights the efficacy of free fibular flap in addressing complex distal radius non-unions, providing an effective solution when simpler techniques have failed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110447","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T22:36:27Z","timestamp":1728599787000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Case report: Novel approach to distal radius non-union treatment with free fibula flap reconstruction"],"prefix":"10.1097","volume":"124","author":[{"given":"Maria","family":"Albuquerque","sequence":"first","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pl\u00e1stica e Reconstrutiva do Centro Hospitalar Universit\u00e1rio Lisboa Central, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu\u00eds","family":"Mata Ribeiro","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pl\u00e1stica e Reconstrutiva do Centro Hospitalar Universit\u00e1rio Lisboa Central, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Botton","sequence":"additional","affiliation":[{"name":"Unidade de Punho e M\u00e3o, CUF Descobertas, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"12","key":"R3-127-20260421","article-title":"Treatment of radial nonunion with corticocancellous bone graft and fascia of anterolateral thigh free flap: the wrap technique","volume":"4","author":"Cherubino,","year":"2016","journal-title":"Plast. Reconstr. Surg. Glob. Open"},{"issue":"10","key":"R4-127-20260421","article-title":"The use of free fibula flap in different extremities and our clinical results","volume":"15","author":"Atilgan,","year":"2023","journal-title":"Cureus"},{"issue":"5","key":"R5-127-20260421","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. 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A case report","volume":"1","author":"Vicenti,","year":"2018","journal-title":"Injury"},{"issue":"1","key":"R13-127-20260421","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1177\/1457496918772365","article-title":"Clinical comparison of scapular, fibular, and iliac crest osseal free flaps in maxillofacial reconstructions","volume":"108","author":"Wilkman,","year":"2019","journal-title":"Scand. J. Surg."},{"issue":"4","key":"R14-127-20260421","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.1097\/PRS.0000000000002040","article-title":"The evolution of free vascularized bone transfer: a 40-year experience","volume":"137","author":"Ian Taylor,","year":"2016","journal-title":"Plast. Reconstr. 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