{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T15:27:42Z","timestamp":1775316462439,"version":"3.50.1"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T00:00:00Z","timestamp":1775260800000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>High-energy open tibial fractures with segmental bone loss and extensive soft-tissue necrosis remain limb-threatening, especially when only one recipient artery is patent. We report a 37-year-old man with a Gustilo-Anderson type IIIB open distal tibial fracture, posterior tibial artery injury, a 7-cm tibial defect and a 14 x 25\u00a0cm soft-tissue defect after serial debridement. After emergency external fixation and revascularization, the wound was optimized with repeated debridement and circumferential negative-pressure wound therapy. Definitive reconstruction used a vascularized pedicled fibular graft from the injured leg to bridge the tibial defect, combined with a latissimus dorsi free flap for coverage; the thoracodorsal artery was anastomosed end-to-side to the posterior tibial artery under 3D magnification. The flap survived without infection or secondary necrosis, allowing early rehabilitation with stable coverage and maintained alignment.<\/jats:p>","DOI":"10.1093\/jscr\/rjag227","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T15:37:53Z","timestamp":1773329873000},"source":"Crossref","is-referenced-by-count":0,"title":["Combination of pedicled fibular graft and latissimus dorsi free flap in complex tibial bone defect reconstruction after high-energy trauma: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Truong Phu","family":"Ho-Man","sequence":"first","affiliation":[{"name":"Center of Orthopaedic and Plastic Surgery, Hue Central Hospital , 16 Le Loi Street, Thuan Hoa, Hue 530000 ,","place":["Vietnam"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Le Khanh","family":"Linh","sequence":"additional","affiliation":[{"name":"Center of Orthopaedic and Plastic Surgery, Hue Central Hospital , 16 Le Loi Street, Thuan Hoa, Hue 530000 ,","place":["Vietnam"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tran","family":"Van Dung","sequence":"additional","affiliation":[{"name":"Center of Orthopaedic and Plastic Surgery, Hue Central Hospital , 16 Le Loi Street, Thuan Hoa, Hue 530000 ,","place":["Vietnam"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,4,4]]},"reference":[{"key":"2026040410412776600_ref1","doi-asserted-by":"publisher","first-page":"1924","DOI":"10.1056\/NEJMoa012604","article-title":"An analysis of outcomes of reconstruction or amputation after leg-threatening injuries","volume":"347","author":"Bosse","year":"2002","journal-title":"N Engl J Med"},{"key":"2026040410412776600_ref2","doi-asserted-by":"publisher","first-page":"101483","DOI":"10.1016\/j.jcot.2021.101483","article-title":"Open tibial fractures: an overview","volume":"20","author":"Nicolaides","year":"2021","journal-title":"J Clin Orthop 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Orthop"},{"key":"2026040410412776600_ref9","doi-asserted-by":"publisher","first-page":"37","DOI":"10.5005\/jp-journals-10080-1643","article-title":"Vascularised fibula transfer for post-traumatic critical tibial bone defects: a systematic review","volume":"20","author":"Glynou","year":"2025","journal-title":"Strategies Trauma Limb Reconstr"},{"key":"2026040410412776600_ref10","doi-asserted-by":"publisher","first-page":"100065","DOI":"10.1016\/j.jham.2024.100065","article-title":"End to end versus end to side microvascular anastomosis for traumatic lower limb free flap reconstructions: a systematic review and meta-analysis","volume":"16","author":"Kadhum","year":"2024","journal-title":"J Hand Microsurg"},{"key":"2026040410412776600_ref11","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1055\/a-2126-7058","article-title":"Reliability and safety of cross-leg free latissmus dorsi muscle flap in reconstruction of mutilating leg injuries using end-to-side 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