{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T17:13:22Z","timestamp":1788887602852,"version":"build-2803163510"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2019,12,26]],"date-time":"2019-12-26T00:00:00Z","timestamp":1577318400000},"content-version":"vor","delay-in-days":116,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\nObjectives\u2003Salvage and reconstruction of posttraumatic defects of the long bone are complex due to the multiple procedures involved and increased chances of poor outcomes. We present the outcomes of the modified Capanna\u2019s technique\u2014a reliable single-stage procedure of combining allograft and free vascularized fibular graft\u2014in treating large posttraumatic bone defects in the distal third of the femur.<\/jats:p><jats:p>\n          Study Design\u2003This is a retrospective analysis.<\/jats:p><jats:p>\nMaterials and Methods\u2003Between April 2012 and September 2016, 19 patients with an average age of 33.8 years (range: 18\u201349 years) and an average defect of 14.5 cm (range: 9.5\u201320 cm) in the distal femur were managed by the modified Capanna\u2019s technique. Bone union time and functional outcome using lower extremity functional score (LEFS) after union were noted.<\/jats:p><jats:p>\nOutcomes and Results\u2003Eighteen grafts went onto achieve bony union at an average of 6.6 months (range: 5\u20139), with an average knee flexion of 80 degrees (range: 45\u2013110 degrees) and an average LEFS of 63 (range: 46\u201372). One patient had a nonunion with graft resorption at 8 months following persistent infection and was revised with debridement and augmenting the vascularized fibula from the other leg which went on to achieve union. Three patients had superficial infection, and three patients had delayed union.<\/jats:p><jats:p>\nConclusion\u2003The modified Capanna\u2019s technique provided increased biology and enhanced structural stability and therefore is a good single-stage procedure in the reconstruction of posttraumatic long-segment defects of the distal femur.<\/jats:p><jats:p>\nLevel of Evidence\u2003Level 4.<\/jats:p><jats:p>\nLevel of Clinical Care\u2003Level I tertiary trauma center.<\/jats:p>","DOI":"10.1055\/s-0039-3400672","type":"journal-article","created":{"date-parts":[[2019,12,26]],"date-time":"2019-12-26T18:34:27Z","timestamp":1577385267000},"page":"296-303","source":"Crossref","is-referenced-by-count":19,"title":["Modified Capanna\u2019s Technique (Vascularized Free Fibula Combined with Allograft) as a Single-Stage Procedure in Post-traumatic Long-Segment Defects of the Lower End of the Femur: Outcome Analysis of a Series of 19 Patients with an Average Gap of 14 cm"],"prefix":"10.1055","volume":"52","author":[{"given":"Dheenadhayalan","family":"Jayaramaraju","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics & Trauma, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hari","family":"Venkataramani","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Surgery, Ganga Medical Centre & Hospitals, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0378-7411","authenticated-orcid":false,"given":"Raja Bhaskara","family":"Rajasekaran","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics & Trauma, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devendra","family":"Agraharam","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics & Trauma, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanmuganathan Raja","family":"Sabapathy","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Surgery, Ganga Medical Centre & Hospitals, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanmuganathan","family":"Rajasekaran","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics & Trauma, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,12,26]]},"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-3400672.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,1,2]],"date-time":"2020-01-02T02:57:49Z","timestamp":1577933869000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-3400672"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9]]},"references-count":0,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2019,12,31]]},"published-print":{"date-parts":[[2019,9]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-3400672","relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"value":"0970-0358","type":"print"},{"value":"1998-376X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9]]}}}