{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T04:05:52Z","timestamp":1747109152906,"version":"3.40.5"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n            <jats:title>Abstract:<\/jats:title>\n            <jats:p>Metacarpal bone loss presents a challenging reconstructive dilemma for hand surgeons. While multiple bone grafting techniques have been described, complications including nonunion, graft resorption, fixation requiring prolonged immobilization, stiffness, and the need for multiple procedures are well-documented. We present a technique for managing metacarpal bone loss utilizing a tri-cortical iliac crest graft and an intramedullary metacarpal nail for the treatment of metacarpal fractures and nonunions that is technically simple, fast, and allows for early initiation of motion to decrease postoperative complications.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Level IV- Therapeutic<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bth.0000000000000421","type":"journal-article","created":{"date-parts":[[2022,12,13]],"date-time":"2022-12-13T10:00:12Z","timestamp":1670925612000},"page":"120-124","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Iliac Crest Bone Graft With Intramedullary Headless Implant for Metacarpal Bone Loss"],"prefix":"10.1097","volume":"27","author":[{"given":"Madison","family":"Milhoan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Hoelscher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4202-9798","authenticated-orcid":false,"given":"William F.","family":"Pientka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2023,6]]},"reference":[{"key":"R1-20250512","first-page":"ic47","article-title":"Reconstruction of a complex metacarpal shaft fracture with segmental bone loss using autologous iliac crest bone graft","volume":"15","author":"Sood","year":"2015","journal-title":"Eplasty"},{"key":"R2-20250512","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/j.jhsa.2013.07.011","article-title":"Primary bone grafting in open fractures with segmental bone loss","volume":"39","author":"Ruta","year":"2014","journal-title":"J Hand Surg Am"},{"key":"R3-20250512","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/0363-5023(93)90359-B","article-title":"Low-velocity gunshot wounds of the metacarpal: treatment by early stable fixation and bone grafting","volume":"18","author":"Gonzalez","year":"1993","journal-title":"J Hand Surg Am"},{"key":"R5-20250512","doi-asserted-by":"crossref","first-page":"1249734","DOI":"10.1155\/2021\/1249734","article-title":"Structural bicortical autologous iliac crest bone graft combined with the tunnel bone tamping method for the depressed tibial plateau fractures","volume":"2021","author":"Wang","year":"2021","journal-title":"Biomed Res Int"},{"key":"R6-20250512","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.hansur.2019.01.002","article-title":"Metacarpal bone reconstruction by a cementless induced membrane technique","volume":"38","author":"Murison","year":"2019","journal-title":"Hand Surg Rehabil"},{"key":"R7-20250512","doi-asserted-by":"crossref","first-page":"e3895","DOI":"10.1097\/GOX.0000000000003895","article-title":"Intramedullary screw fixation comprehensive technique guide for metacarpal and phalanx fractures: pearls and pitfalls","volume":"9","author":"Chao","year":"2021","journal-title":"Plast Reconstr Surg Glob Open"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000421","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T16:10:42Z","timestamp":1747066242000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000421"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,13]]},"references-count":6,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000421","relation":{},"ISSN":["1531-6572"],"issn-type":[{"type":"electronic","value":"1531-6572"}],"subject":[],"published":{"date-parts":[[2022,12,13]]}}}