{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T10:57:33Z","timestamp":1790852253390,"version":"4.1.0"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":273,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Orthopedics"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    The induced membrane technique (IMT) is a two\u2010stage reconstructive procedure for critical\u2010sized bone defects. We report a 31\u2010year\u2010old male who sustained a Gustilo\u2013Anderson grade IIIB open fracture of the radius and ulna following a high\u2010energy dirt bike injury, complicated by\n                    <jats:italic>Serratia marcescens<\/jats:italic>\n                    fracture\u2010related infection and septic nonunion. Intraoperative debridement at Stage 1 revealed a 6\u2010cm defect of the ulna, which was managed with an antibiotic\u2010impregnated polymethylmethacrylate (PMMA) spacer. A concomitant radial nonunion, identified on postdebridement CT, was addressed at Stage 2 with concurrent revision open reduction and internal fixation (ORIF) and autogenous femoral bone grafting. Culture\u2010directed oral antibiotic therapy was administered following Stage 1. Mature bridging callus was noted at 6 months and confirmed at both bones at approximately 22 months postinjury, with infection eradication confirmed at Stage 2. Prior to subsequent elbow procedures, the patient demonstrated a Mayo Elbow Performance Score of 65 (fair), with an elbow arc of motion of 60\u00b0\u2013140\u00b0 and forearm rotation of 70\u00b0 pronation and 75\u00b0 supination. This case illustrates the utility of IMT for ulnar reconstruction in the setting of fracture\u2010related infection, and highlights a forearm\u2010specific biomechanical consideration: Fixing the ulna at a set length via the IMT spacer construct while shortening the radius for nonunion compression may alter radioulnar variance, a single\u2010case observation that we hypothesize could have implications for DRUJ and elbow mechanics and warrants further study.\n                  <\/jats:p>","DOI":"10.1155\/cro\/3342262","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T10:17:42Z","timestamp":1790849862000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Induced Membrane Reconstruction of a 6\u2010cm Ulnar Defect With Concurrent Revision Bone Grafting of Radial Nonunion Following Gustilo\u2013Anderson Type IIIB Open Forearm Fracture: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"given":"John N.","family":"Manfredi","sequence":"first","affiliation":[{"name":"Medical College of Georgia  Augusta Georgia USA  gru.edu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah B.","family":"Chandasir","sequence":"additional","affiliation":[{"name":"Medical College of Georgia  Augusta Georgia USA  gru.edu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell","family":"Lomis","sequence":"additional","affiliation":[{"name":"Medical College of Georgia  Augusta Georgia USA  gru.edu"},{"name":"University of Georgia  Athens Georgia USA  uga.edu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7872-6796","authenticated-orcid":false,"given":"Brent","family":"Prenger","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Research University of Missouri School of Medicine  Columbia Missouri USA  missouri.edu"},{"name":"OhioHealth Doctors Hospital  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4732-6715","authenticated-orcid":false,"given":"Humzah","family":"Ali","sequence":"additional","affiliation":[{"name":"Medical College of Georgia  Augusta Georgia USA  gru.edu"},{"name":"University of Georgia  Athens Georgia USA  uga.edu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyra","family":"Urquhart-Foster","sequence":"additional","affiliation":[{"name":"Medical College of Georgia  Augusta Georgia USA  gru.edu"},{"name":"University of Georgia  Athens Georgia USA  uga.edu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7271-7221","authenticated-orcid":false,"given":"Caleb J.","family":"Bischoff","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Research University of Missouri School of Medicine  Columbia Missouri USA  missouri.edu"},{"name":"Missouri Orthopedic Institute  Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8538-0086","authenticated-orcid":false,"given":"Abrar Adil","family":"Ansari","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Piedmont Athens Regional Medical  Athens Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_2_12_1_2","volume-title":"Bone Nonunion","author":"Thomas J. D.","year":"2026"},{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.O.00008"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.24978"},{"key":"e_1_2_12_4_2","first-page":"346","article-title":"Reconstruction of the Long Bones by the Induced Membrane and Spongy Autograft","volume":"45","author":"Masquelet A. C.","year":"2000","journal-title":"Annales de Chirurgie Plastique Esth\u00e9tique"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.25147"},{"key":"e_1_2_12_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.07.003"},{"key":"e_1_2_12_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2020.02.002"},{"key":"e_1_2_12_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tcr.2021.100549"},{"key":"e_1_2_12_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193416650171"},{"key":"e_1_2_12_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2021.103036"},{"key":"e_1_2_12_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.12.007"},{"key":"e_1_2_12_12_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199802000-00002"}],"container-title":["Case Reports in Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cro\/3342262","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/cro\/3342262","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cro\/3342262","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T10:17:43Z","timestamp":1790849863000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/cro\/3342262"}},"subtitle":[],"editor":[{"given":"Shashank","family":"Kaushik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/cro\/3342262"],"URL":"https:\/\/doi.org\/10.1155\/cro\/3342262","archive":["Portico"],"relation":{},"ISSN":["2090-6749","2090-6757"],"issn-type":[{"value":"2090-6749","type":"print"},{"value":"2090-6757","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-03-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"3342262"}}