{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T03:09:43Z","timestamp":1785726583763,"version":"3.56.0"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2022,4,16]],"date-time":"2022-04-16T00:00:00Z","timestamp":1650067200000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Adamantinoma is a rare malignant tumour usually affecting the diaphysis of long bones. The tumour most commonly affects the tibia. Conventional management involves excision with a wide margin, reconstruction and sometimes amputation. Multiple options are available, but reconstruction depends upon the size of the bony defect and available resources. None has proved to be the favourable one. We have analysed the advantages and shortcomings of various methods used. In our case, a 33-year-old male patient presented with a large adamantinoma of the midtibial region of the left leg, which was managed with excision and reconstruction of long segment bony defect with free vascularized osteocutaneous fibula flap. There are osseointegration and hypertrophy of the vascularized bone with good functional gain in long term follow-up. Autologous bone reconstruction after adamantinoma excision with microvascular free fibula flap in large bone segment defects salvage the limb with satisfactory functional outcome.<\/jats:p>","DOI":"10.1093\/jscr\/rjac165","type":"journal-article","created":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T11:13:12Z","timestamp":1649934792000},"source":"Crossref","is-referenced-by-count":1,"title":["Adamantinoma of tibia: excision and reconstruction with free vascularized fibula flap: a case report and review of literature"],"prefix":"10.1093","volume":"2022","author":[{"given":"Shamendra Anand","family":"Sahu","sequence":"first","affiliation":[{"name":"Department of Burns & Plastic Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiten Kumar","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Burns & Plastic Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bikram Keshari","family":"Kar","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Manju","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moumita","family":"De","sequence":"additional","affiliation":[{"name":"Department of Burns & Plastic Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,4,15]]},"reference":[{"key":"2022041615305101700_ref1","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1148\/radiol.2463061038","article-title":"Bone tumors and tumorlike conditions: analysis with conventional radiography","volume":"246","author":"Miller","year":"2008","journal-title":"Radiology"},{"key":"2022041615305101700_ref2","doi-asserted-by":"crossref","first-page":"1737","DOI":"10.2214\/ajr.183.6.01831737","article-title":"MRI of adamantinoma of long bones in correlation with histopathology","volume":"183","author":"Van der Woude","year":"2004","journal-title":"AJR Am J Roentgenol"},{"key":"2022041615305101700_ref3","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1302\/0301-620X.79B1.0790036","article-title":"Free vascularised fibular grafting for reconstruction after tumour resection","volume":"79","author":"Hsu","year":"1997","journal-title":"J Bone Joint Surg Br"},{"key":"2022041615305101700_ref4","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.2106\/00004623-200008000-00009","article-title":"Current trends in the management of adamantinoma of long bones. An international study","volume":"82","author":"Qureshi","year":"2000","journal-title":"J Bone Joint Surg Am"},{"key":"2022041615305101700_ref5","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"},{"key":"2022041615305101700_ref6","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.1177\/147323000903700432","article-title":"Adamantinoma of the tibia treated with a new intramedullary diaphyseal segmental defect implant","volume":"37","author":"Mavrogenis","year":"2009","journal-title":"J Int Med Res"},{"key":"2022041615305101700_ref7","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1590\/1413-785220182604192680","article-title":"Tibial adamantinoma: analysis of seven consecutive cases in a single institution","volume":"26","author":"Zum\u00e1rraga","year":"2018","journal-title":"Acta Ortop Bras"},{"key":"2022041615305101700_ref8","first-page":"41","article-title":"Reconstruction of massive tibial defects after resection of adamantinoma with double-level distraction osteogenesis","volume-title":"J Limb Lengthen Reconstr","author":"Eugenia","year":"2019"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/4\/rjac165\/43384104\/rjac165.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/4\/rjac165\/43384104\/rjac165.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,16]],"date-time":"2022-04-16T15:31:05Z","timestamp":1650123065000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjac165\/6568938"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,1]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjac165","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,4]]},"published":{"date-parts":[[2022,4,1]]},"article-number":"rjac165"}}