{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T10:34:43Z","timestamp":1782297283849,"version":"3.54.5"},"reference-count":56,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"name":"The Turkish Society of Orthopaedic Trauma"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","injuryjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Injury"],"published-print":{"date-parts":[[2021,10]]},"DOI":"10.1016\/j.injury.2019.08.013","type":"journal-article","created":{"date-parts":[[2019,8,14]],"date-time":"2019-08-14T11:17:03Z","timestamp":1565781423000},"page":"2926-2934","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":29,"title":["Reconstruction of traumatic tubular bone defects using vascularized fibular graft"],"prefix":"10.1016","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9985-4599","authenticated-orcid":false,"given":"Tulgar","family":"Toros","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kemal","family":"Ozaksar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.injury.2019.08.013_bib0005","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1002\/micr.20862","article-title":"The free vascularized fibular graft for bridging large skeletal defects of the upper extremity","volume":"31","author":"Soucacos","year":"2011","journal-title":"Microsurgery"},{"key":"10.1016\/j.injury.2019.08.013_bib0010","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1097\/SAP.0b013e3182a1aff0","article-title":"Management of upper limb bone defects using free vascularized osteoseptocutaneous fibular bone graft","volume":"71","author":"Noaman","year":"2013","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.injury.2019.08.013_bib0015","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1016\/j.jhsa.2014.12.007","article-title":"Masquelet technique for treatment of segmental bone loss in the upper extremity","volume":"40","author":"Micev","year":"2015","journal-title":"J Hand Surg Am"},{"key":"10.1016\/j.injury.2019.08.013_bib0020","doi-asserted-by":"crossref","first-page":"430","DOI":"10.3944\/AOTT.2012.2876","article-title":"Free vascularized fibular grafts in type 3 open tibia fractures","volume":"46","author":"Ozaksar","year":"2012","journal-title":"Acta Orthop Traumatol Turc"},{"key":"10.1016\/j.injury.2019.08.013_bib0025","doi-asserted-by":"crossref","first-page":"2227","DOI":"10.2106\/JBJS.J.01513","article-title":"Autogenous bone graft: dono rsites and techniques","volume":"93","author":"Myeroff","year":"2011","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.injury.2019.08.013_bib0030","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1097\/00006534-198409000-00006","article-title":"Bone grafts: a radiological, histologic, and biomechanical model comparing autografts, allografts, and free vascularized bone grafts","volume":"74","author":"Weiland","year":"1984","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.injury.2019.08.013_bib0035","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1097\/00003086-198507000-00008","article-title":"The use of allografts to reconstruct intercalary defects of long bones","volume":"197","author":"Makley","year":"1985","journal-title":"Clin Orthop"},{"key":"10.1016\/j.injury.2019.08.013_bib0040","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1002\/micr.20848","article-title":"Recent updates of surgical techniques and applications of free vascularized fibular graft in extremity and trunk reconstruction","volume":"31","author":"Korompilias","year":"2011","journal-title":"Microsurgery"},{"key":"10.1016\/j.injury.2019.08.013_bib0045","doi-asserted-by":"crossref","first-page":"66","DOI":"10.2106\/00004623-198163010-00025","article-title":"Current concepts review: vascularized free bone transplants","volume":"63","author":"Weiland","year":"1981","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.injury.2019.08.013_bib0050","doi-asserted-by":"crossref","first-page":"510e","DOI":"10.1097\/PRS.0000000000003004","article-title":"Complications and long term outcomes of free fibula reconstruction following resection of a malignant tumor in the extremities","volume":"139","author":"Houdek","year":"2017","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.injury.2019.08.013_bib0055","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1097\/00006534-197505000-00002","article-title":"The free vascularized bone graft. A clinical extension of microvascular techniques","volume":"55","author":"Taylor","year":"1975","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.injury.2019.08.013_bib0060","doi-asserted-by":"crossref","first-page":"365","DOI":"10.2106\/00004623-198769030-00007","article-title":"The reconstruction of defects in the femoral shaft with vascularized transfers of fibula bones","volume":"69","author":"Jupiter","year":"1987","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.injury.2019.08.013_bib0065","first-page":"194","article-title":"A comparison of vascularized free fibular flaps and nonvascularized fibular grafts for reconstruction of long bone defects after tumor resection","volume":"33","author":"Estrella","year":"2017","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.injury.2019.08.013_bib0070","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/00003086-198904000-00017","article-title":"Ilizarov treatment of tibial nonunions with bone loss","volume":"241","author":"Paley","year":"1989","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.injury.2019.08.013_bib0075","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/S0020-1383(99)00225-9","article-title":"Ilizarov bone transport over a primary tibial nail and free flap: a new technique for treating Gustilo grade 3b fractures with large segmental defects","volume":"31","author":"Carrington","year":"2000","journal-title":"Injury"},{"key":"10.1016\/j.injury.2019.08.013_bib0080","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1007\/s00264-014-2281-6","article-title":"Free vascularised grafts in orthopaedics","volume":"38","author":"Bumbasirevic","year":"2014","journal-title":"Int Orthop"},{"key":"10.1016\/j.injury.2019.08.013_bib0085","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1055\/s-0035-1544167","article-title":"New options for vascularized bone reconstruction in the upper extremity","volume":"29","author":"Houdek","year":"2015","journal-title":"Semin Plast Surg"},{"key":"10.1016\/j.injury.2019.08.013_bib0090","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1080\/000164701753542014","article-title":"Reconstruction of posttraumatic long bone defect with free vascularized bone graft: good outcome in 48 patients with 6 years\u2019 follow-up","volume":"72","author":"Tu","year":"2001","journal-title":"Acta Orthop Scand"},{"key":"10.1016\/j.injury.2019.08.013_bib0095","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1055\/s-2007-1000131","article-title":"Free vascularized fibula grafts in surgery of the upper limb","volume":"15","author":"Yajima","year":"1999","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.injury.2019.08.013_bib0100","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":"Taylor","year":"2016","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.injury.2019.08.013_bib0105","doi-asserted-by":"crossref","first-page":"360","DOI":"10.5435\/00124635-200409000-00010","article-title":"Free vascularized fibular grafts for reconstruction of skeletal defects","volume":"12","author":"Malizos","year":"2004","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.injury.2019.08.013_bib0110","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1097\/00003086-200402000-00007","article-title":"Free vascularized fibular grafts have a high union rate in atrophic nonunions","volume":"419","author":"Gonz\u00e1lez del Pino","year":"2004","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.injury.2019.08.013_bib0115","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1007\/BF02620523","article-title":"A new technique for reconstruction of large metadiaphyseal bone defects: a combined graft (allograft shell plus vascularized fibula)","volume":"2","author":"Capanna","year":"1993","journal-title":"Orthop Traumatol"},{"key":"10.1016\/j.injury.2019.08.013_bib0120","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.2106\/00004623-199274100-00002","article-title":"Vascularized bone transfer","volume":"74","author":"Han","year":"1992","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.injury.2019.08.013_bib0125","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1302\/0301-620X.82B7.0821022","article-title":"Vascularised fibular grafts. An experience of 102 patients","volume":"82","author":"Minami","year":"2000","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.injury.2019.08.013_bib0130","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1055\/s-2004-824884","article-title":"Free vascularized osteocutaneous fibular graft to the tibia in 51 consecutive cases","volume":"20","author":"Lee","year":"2004","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.injury.2019.08.013_bib0135","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1055\/s-2007-1006458","article-title":"Some problems in wrist reconstruction after tumor resection with vascularized fibular-head graft","volume":"12","author":"Usui","year":"1996","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.injury.2019.08.013_bib0140","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/0007-1226(88)90001-X","article-title":"The anterior tibial vessels and their role in epiphyseal and diaphyseal transfer of the \ufb01bula: experimental study and clinical applications","volume":"41","author":"Taylor","year":"1988","journal-title":"Br J Plast Surg"},{"key":"10.1016\/j.injury.2019.08.013_bib0145","first-page":"233","article-title":"Reconstruction of lower limb bone defects after sarcoma resection in children and adolescents using free vascularized fibular transfer","volume":"12","author":"El-Gammal","year":"2003","journal-title":"J Pediatr Orthop B"},{"issue":"Suppl. 1","key":"10.1016\/j.injury.2019.08.013_bib0150","doi-asserted-by":"crossref","first-page":"S70","DOI":"10.1016\/S0020-1383(13)70016-0","article-title":"Vascularized bone grafts for the management of skeletal defects in orthopaedic trauma and reconstructive surgery","volume":"44","author":"Soucacos","year":"2013","journal-title":"Injury"},{"key":"10.1016\/j.injury.2019.08.013_bib0155","doi-asserted-by":"crossref","first-page":"1457","DOI":"10.1097\/01.PRS.0000138811.88807.65","article-title":"One-stage reconstruction of composite bone and soft-tissue defects in traumatic lower extremities","volume":"114","author":"Yazar","year":"2004","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.injury.2019.08.013_bib0160","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1016\/j.otsr.2012.03.009","article-title":"Value of a skin island flap as a postoperative predictor of vascularized fibula graft viability in extensive diaphyseal bone defect reconstruction","volume":"98","author":"Guo","year":"2012","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.injury.2019.08.013_bib0165","doi-asserted-by":"crossref","first-page":"1504","DOI":"10.2106\/00004623-200407000-00021","article-title":"Vascularized proximal fibular epiphyseal transfer for distal radial reconstruction","volume":"86","author":"Innocenti","year":"2004","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.injury.2019.08.013_bib0170","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1055\/s-2007-1000157","article-title":"Free vascularized growth-plate transfer after bone tumor resection in children","volume":"14","author":"Innocenti","year":"1998","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.injury.2019.08.013_bib0175","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1302\/0301-620X.61B3.479261","article-title":"Free vascularized fibular transplant for replacement of the lower radius","volume":"61-B","author":"Pho","year":"1979","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.injury.2019.08.013_bib0180","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1097\/00006534-198803000-00011","article-title":"The \u201cdouble barrel\u201d free vascularized fibular bone graft","volume":"81","author":"Jones","year":"1988","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.injury.2019.08.013_bib0185","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1002\/micr.22521","article-title":"Vascularized proximal fibula epiphyseal transfer for distal radius reconstruction in children: a systematic review","volume":"36","author":"Aldekhayel","year":"2016","journal-title":"Microsurgery"},{"key":"10.1016\/j.injury.2019.08.013_bib0190","first-page":"784","article-title":"Free fibula osteoseptocutaneous graft for reconstruction of segmental femoral shaft defects","volume":"43","author":"Wei","year":"1997","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.injury.2019.08.013_bib0195","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1002\/(SICI)1098-2752(1996)17:7<366::AID-MICR4>3.0.CO;2-E","article-title":"Failure of hypertrophy in revascularised fibula grafts due to stress protection","volume":"17","author":"Bos","year":"1996","journal-title":"Microsurgery"},{"key":"10.1016\/j.injury.2019.08.013_bib0200","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1002\/micr.10066","article-title":"Hypertrophy after free vascularized fibular transfer to the lower limb","volume":"22","author":"El-Gammal","year":"2002","journal-title":"Microsurgery"},{"key":"10.1016\/j.injury.2019.08.013_bib0205","doi-asserted-by":"crossref","first-page":"613","DOI":"10.2214\/ajr.161.3.8352118","article-title":"Free vascularized fibular grafts: radiographic evidence of remodeling and hypertrophy","volume":"161","author":"Lazar","year":"1993","journal-title":"Am J Roentgenol"},{"key":"10.1016\/j.injury.2019.08.013_bib0210","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1016\/j.bjps.2003.08.021","article-title":"Femoral reconstruction by single, folded or double free vascularised fibular grafts","volume":"57","author":"Muramatsu","year":"2004","journal-title":"Br J Plast Surg"},{"key":"10.1016\/j.injury.2019.08.013_bib0215","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1016\/S0007-1226(03)00186-3","article-title":"Long-term behaviour of the free vascularised fibula following reconstruction of large bony defects","volume":"56","author":"Falder","year":"2003","journal-title":"Br J Plast Surg"},{"key":"10.1016\/j.injury.2019.08.013_bib0220","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1055\/s-2007-1000169","article-title":"Free vascularized fibular grafts for reconstruction of large femoral defects involving the knee joint: report of two cases","volume":"14","author":"Wada","year":"1998","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.injury.2019.08.013_bib0225","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1007\/s00402-009-0898-5","article-title":"Treatment for large skeletal defects by free vascularized fibular graft combined with locking plate","volume":"130","author":"Sun","year":"2010","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.injury.2019.08.013_bib0230","doi-asserted-by":"crossref","first-page":"2216","DOI":"10.2106\/00004623-200212000-00014","article-title":"Treatment of segmental defects of the humerus with an osteoseptocutaneous fibular transplant","volume":"84","author":"Heitman","year":"2002","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.injury.2019.08.013_bib0235","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1007\/s00590-017-1955-3","article-title":"Free non-vascularized \ufb01bular graft for treatment of large bone defect around the elbow in pediatric patients","volume":"27","author":"Kaewpornsawan","year":"2017","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.injury.2019.08.013_bib0240","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1002\/jor.1100060502","article-title":"A quantative analysis of donor site morbidity after vascularized fibular transfer","volume":"6","author":"Youdas","year":"1988","journal-title":"J Orthop Res"},{"key":"10.1016\/j.injury.2019.08.013_bib0245","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/s10195-013-0225-3","article-title":"Pedicled vascularized \ufb01bular graft with Ilizarov external \ufb01xator for reconstructing a large bone defect of the tibia after tumor resection","volume":"14","author":"Khira","year":"2013","journal-title":"J Orthop Traumatol"},{"key":"10.1016\/j.injury.2019.08.013_bib0250","doi-asserted-by":"crossref","first-page":"e83","DOI":"10.1097\/BPO.0000000000000866","article-title":"A-frame free vascularized fibular graft and femoral lengthening for osteosarcoma pediatric patients","volume":"38","author":"Cashin","year":"2018","journal-title":"J Pediatr Orthop"},{"key":"10.1016\/j.injury.2019.08.013_bib0255","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1097\/00000637-199705000-00005","article-title":"Leg morbidity and function following \ufb01bula free \ufb02ap harvest","volume":"38","author":"Shpitzer","year":"1997","journal-title":"Ann Plastic Surg"},{"key":"10.1016\/j.injury.2019.08.013_bib0260","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1055\/s-2000-7544","article-title":"Free \ufb01bular donor-site morbidity: the Mayo experience with 100 consecutive harvests","volume":"16","author":"Babovic","year":"2000","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.injury.2019.08.013_bib0265","doi-asserted-by":"crossref","first-page":"597","DOI":"10.2106\/00004623-200304000-00002","article-title":"Biomechanical analysis of donor-site ankle instability following free fibular graft harvest","volume":"85","author":"Pacelli","year":"2003","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.injury.2019.08.013_bib0270","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1097\/BPB.0000000000000197","article-title":"Long-term effect on foot and ankle donor site following vascularized fibular graft resection in children","volume":"24","author":"Sulaiman","year":"2015","journal-title":"J Pediatr Orthop B"},{"key":"10.1016\/j.injury.2019.08.013_bib0275","doi-asserted-by":"crossref","first-page":"1927","DOI":"10.1007\/s00264-018-4086-5","article-title":"Fibular donor site following non vascularized harvest: clinico-radiological outcome at minimal five year follow-up","volume":"43","author":"Agarwal","year":"2019","journal-title":"Int Orthop"},{"key":"10.1016\/j.injury.2019.08.013_bib0280","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1007\/s00264-017-3403-8","article-title":"Ankle valgus following non-vascularized fibular grafts in children\u2014an outcome evaluation minimum two years after fibular harvest","volume":"41","author":"Agarwal","year":"2017","journal-title":"Int Orthop"}],"container-title":["Injury"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0020138319304759?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0020138319304759?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T14:19:33Z","timestamp":1762179573000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0020138319304759"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":56,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["S0020138319304759"],"URL":"https:\/\/doi.org\/10.1016\/j.injury.2019.08.013","relation":{},"ISSN":["0020-1383"],"issn-type":[{"value":"0020-1383","type":"print"}],"subject":[],"published":{"date-parts":[[2021,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Reconstruction of traumatic tubular bone defects using vascularized fibular graft","name":"articletitle","label":"Article Title"},{"value":"Injury","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.injury.2019.08.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}