{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T08:40:13Z","timestamp":1793781613702,"version":"4.6.1"},"reference-count":38,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:00:00Z","timestamp":1722816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["jhsgo.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hand Surgery Global Online"],"published-print":{"date-parts":[[2025,3]]},"DOI":"10.1016\/j.jhsg.2024.08.004","type":"journal-article","created":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T22:09:00Z","timestamp":1725746940000},"page":"356-361","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Versatility of Vascularized Fibular Graft in Forearm Bone Loss: From Initial Treatment to Secondary Nonunion Treatment"],"prefix":"10.1016","volume":"7","author":[{"given":"Bruno","family":"Battiston","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Fissore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabetta","family":"Mijno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Ciclamini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jhsg.2024.08.004_bib1","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":"Gonzalez Del Pino","year":"2004","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"10.1016\/j.jhsg.2024.08.004_bib2","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1002\/micr.1920040107","article-title":"The study and clinical application of the osteocutaneous flap of fibula","volume":"4","author":"Chen","year":"1983","journal-title":"Microsurgery"},{"issue":"1","key":"10.1016\/j.jhsg.2024.08.004_bib3","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1002\/micr.1920150108","article-title":"Vascularized fibular graft for management of severe osteomyelitis of the upper extremity","volume":"15","author":"Mattar","year":"1994","journal-title":"Microsurgery"},{"issue":"7","key":"10.1016\/j.jhsg.2024.08.004_bib4","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\u00a0Reconstr Microsurg"},{"issue":"1","key":"10.1016\/j.jhsg.2024.08.004_bib5","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1302\/0301-620X.84B1.0840030","article-title":"Modification of the Nicoll bone-grafting technique for nonunion of the radius and\/or ulna","volume":"84-B","author":"Davey","year":"2002","journal-title":"J\u00a0Bone Joint Surg Br"},{"issue":"8","key":"10.1016\/j.jhsg.2024.08.004_bib6","first-page":"799","article-title":"Freier Fibulatransfer. Analyse einer Serie von 76 konsekutiven mikrochirugischen Operationen und Literatur\u00fcbersicht [Free fibula transfer. Analysis of 76 consecutive microsurgical procedures and review of the literature]","volume":"75","author":"Erdmann","year":"2004","journal-title":"Chirurg"},{"issue":"1","key":"10.1016\/j.jhsg.2024.08.004_bib7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ocl.2006.10.007","article-title":"Free vascularized fibular grafting-25 years\u2019 experience: tips, techniques, and pearls","volume":"38","author":"Wood","year":"2007","journal-title":"Orthop Clin North Am"},{"issue":"1","key":"10.1016\/j.jhsg.2024.08.004_bib8","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.ocl.2006.10.006","article-title":"Long bone reconstruction with vascularized bone grafts","volume":"38","author":"Pederson","year":"2007","journal-title":"Orthop Clin North Am"},{"issue":"6","key":"10.1016\/j.jhsg.2024.08.004_bib9","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1055\/s-2007-1006751","article-title":"Double vascularized fibulas for reconstruction of large tibial defects","volume":"9","author":"Banic","year":"1993","journal-title":"J\u00a0Reconstr Microsurg"},{"key":"10.1016\/j.jhsg.2024.08.004_bib10","series-title":"Modern Methods of Treating Fractures","author":"Hey-Groves","year":"1921"},{"issue":"4","key":"10.1016\/j.jhsg.2024.08.004_bib11","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1016\/S0363-5023(05)80277-1","article-title":"Clinical results of the one-bone forearm","volume":"20","author":"Peterson","year":"1995","journal-title":"J\u00a0Hand Surg"},{"issue":"8","key":"10.1016\/j.jhsg.2024.08.004_bib12","first-page":"742","article-title":"Problems in the management of type III (severe) open fractures: a new classification of type III open fractures","volume":"24","author":"Gustilo","year":"1984","journal-title":"J\u00a0Trauma"},{"key":"10.1016\/j.jhsg.2024.08.004_bib13","first-page":"241","article-title":"Microvascular fibular grafts in skeleton reconstruction","volume":"314","author":"Brunelli","year":"1995","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"10.1016\/j.jhsg.2024.08.004_bib14","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/S0749-0712(21)00466-2","article-title":"The management of bone defects of the forearm after trauma","volume":"15","author":"Stevanovic","year":"1999","journal-title":"Hand Clin"},{"issue":"4","key":"10.1016\/j.jhsg.2024.08.004_bib15","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1016\/S0749-0712(21)00227-4","article-title":"Upper limb lengthening","volume":"16","author":"Damsin","year":"2000","journal-title":"Hand Clin"},{"issue":"6","key":"10.1016\/j.jhsg.2024.08.004_bib16","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1007\/s11832-016-0789-6","article-title":"Humeral lengthening and deformity correction","volume":"10","author":"Hosny","year":"2016","journal-title":"J\u00a0Child Orthop"},{"issue":"11","key":"10.1016\/j.jhsg.2024.08.004_bib17","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.2106\/JBJS.18.00842","article-title":"Bone repair using the Masquelet technique","volume":"101","author":"Masquelet","year":"2019","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"6","key":"10.1016\/j.jhsg.2024.08.004_bib18","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1177\/1753193416650171","article-title":"Management of recalcitrant osteomyelitis and segmental bone loss of the forearm with the Masquelet technique","volume":"42","author":"Luo","year":"2017","journal-title":"J\u00a0Hand Surg Eur Vol"},{"issue":"4","key":"10.1016\/j.jhsg.2024.08.004_bib19","doi-asserted-by":"crossref","first-page":"342.e1","DOI":"10.1016\/j.jhsa.2018.07.003","article-title":"Masquelet Reconstruction for posttraumatic segmental bone defects in the forearm","volume":"44","author":"Walker","year":"2019","journal-title":"J\u00a0Hand Surg Am"},{"issue":"3","key":"10.1016\/j.jhsg.2024.08.004_bib20","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1055\/s-2008-1081405","article-title":"The vascularized medial femoral corticoperiosteal flap for reconstruction of bony defects within the upper and lower extremities","volume":"22","author":"Bakri","year":"2008","journal-title":"Semin Plast Surg"},{"key":"10.1016\/j.jhsg.2024.08.004_bib21","doi-asserted-by":"crossref","first-page":"S54","DOI":"10.1016\/j.injury.2019.10.049","article-title":"The medial femoral condyle free corticoperiosteal flap versus traditional bone graft for treatment of nonunions of long bones: a retrospective comparative cohort study","volume":"50","author":"Ciclamini","year":"2019","journal-title":"Injury"},{"issue":"2","key":"10.1016\/j.jhsg.2024.08.004_bib22","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1055\/a-1075-2402","article-title":"Treatment of chronic osteomyelitis with vascularized bone flaps in one-stage-procedure","volume":"52","author":"Ciclamini","year":"2020","journal-title":"Handchir Mikrochir Plast Chir"},{"issue":"3","key":"10.1016\/j.jhsg.2024.08.004_bib23","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1002\/micr.20863","article-title":"Microvascular reconstructions of traumatic-combined tissue loss at foot and ankle level","volume":"31","author":"Battiston","year":"2011","journal-title":"Microsurg"},{"issue":"4","key":"10.1016\/j.jhsg.2024.08.004_bib24","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/j.cps.2020.06.006","article-title":"Compound or specially designed flaps in the lower extremities","volume":"47","author":"Battiston","year":"2020","journal-title":"Clin Plast Surg"},{"issue":"6","key":"10.1016\/j.jhsg.2024.08.004_bib25","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1007\/s00264-014-2281-6","article-title":"Free vascularised fibular grafts in orthopaedics","volume":"38","author":"Bumbasirevic","year":"2014","journal-title":"Int Orthop"},{"key":"10.1016\/j.jhsg.2024.08.004_bib26","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2014-208992","article-title":"Reconstruction of a complicated adjacent non-union of the radius and ulna using a free vascularised double-barrel fibula graft","author":"Frary","year":"2016","journal-title":"BMJ Case Rep"},{"issue":"1","key":"10.1016\/j.jhsg.2024.08.004_bib27","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1186\/s12891-016-1312-4","article-title":"Autologous bone graft in the treatment of post-traumatic bone defects: a systematic review and meta-analysis","volume":"17","author":"Azi","year":"2016","journal-title":"BMC Musculoskelet Disord"},{"issue":"12","key":"10.1016\/j.jhsg.2024.08.004_bib28","doi-asserted-by":"crossref","first-page":"2962","DOI":"10.1016\/j.injury.2020.06.018","article-title":"One bone forearm with vascularized fibular graft. Clinical experience and literature review","volume":"51","author":"Artiaco","year":"2020","journal-title":"Injury"},{"issue":"2","key":"10.1016\/j.jhsg.2024.08.004_bib29","doi-asserted-by":"crossref","first-page":"366","DOI":"10.2106\/00004623-195537020-00017","article-title":"The one-bone forearm: a reconstructive procedure","volume":"37-A","author":"Murray","year":"1955","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"3","key":"10.1016\/j.jhsg.2024.08.004_bib30","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/0072-968X(73)90031-4","article-title":"The single-bone forearm--a reconstructive technique","volume":"5","author":"Reid","year":"1973","journal-title":"Hand"},{"issue":"2","key":"10.1016\/j.jhsg.2024.08.004_bib31","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1302\/0301-620X.45B2.351","article-title":"Radio-ulnar fusion for defects in the forearm bones","volume":"45-B","author":"Lowe","year":"1963","journal-title":"J\u00a0Bone Joint Surg Br"},{"issue":"6","key":"10.1016\/j.jhsg.2024.08.004_bib32","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.2106\/00004623-197456060-00014","article-title":"One-bone forearm","volume":"56","author":"Castle","year":"1974","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"2","key":"10.1016\/j.jhsg.2024.08.004_bib33","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1177\/1558944716643305","article-title":"Complications and outcomes of one-bone forearm reconstruction","volume":"12","author":"Kim","year":"2017","journal-title":"Hand (N Y)"},{"issue":"4","key":"10.1016\/j.jhsg.2024.08.004_bib34","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/j.bjps.2004.11.002","article-title":"Vascularised free fibular flap in bone resection and reconstruction","volume":"58","author":"Belt","year":"2005","journal-title":"Br J Plast Surg"},{"issue":"5","key":"10.1016\/j.jhsg.2024.08.004_bib35","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1002\/micr.22501","article-title":"Microsurgical reconstruction of lower limb bone defects following tumor resection using vascularized fibula osteoseptocutaneous flap","volume":"22","author":"El-Gammal","year":"2002","journal-title":"Microsurgery"},{"issue":"3","key":"10.1016\/j.jhsg.2024.08.004_bib36","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1097\/00000637-200109000-00004","article-title":"Upper limb salvage with microvascular bone transfer for major long-bone segmental tumor resections","volume":"47","author":"Gao","year":"2001","journal-title":"Ann Plast Surg"},{"issue":"7","key":"10.1016\/j.jhsg.2024.08.004_bib37","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-B","author":"Minami","year":"2000","journal-title":"J\u00a0Bone Joint Surg Br"},{"issue":"6","key":"10.1016\/j.jhsg.2024.08.004_bib38","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"}],"container-title":["Journal of Hand Surgery Global Online"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589514124001610?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589514124001610?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T19:53:00Z","timestamp":1751399580000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2589514124001610"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":38,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["S2589514124001610"],"URL":"https:\/\/doi.org\/10.1016\/j.jhsg.2024.08.004","relation":{},"ISSN":["2589-5141"],"issn-type":[{"value":"2589-5141","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Versatility of Vascularized Fibular Graft in Forearm Bone Loss: From Initial Treatment to Secondary Nonunion Treatment","name":"articletitle","label":"Article Title"},{"value":"Journal of Hand Surgery Global Online","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jhsg.2024.08.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 THE AUTHORS. Published by Elsevier Inc. on behalf of The American Society for Surgery of the Hand.","name":"copyright","label":"Copyright"}]}}