{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T22:23:15Z","timestamp":1792275795198,"version":"4.4.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>We report the case of a pediatric patient with Ewing\u2019s sarcoma of the tibia treated with vascularized fibular autograft where the resulting limb deformity and leg length discrepancy (LLD) were corrected using Ilizarov external fixator. A 14-year-old girl presented to our outpatient clinic with a deformity of the right proximal and distal tibia and an 11.7\u00a0cm of LLD after tumor reconstruction surgery. Deformity correction and limb lengthening were simultaneously performed using double corticotomy on the right proximal and distal tibia. One year postoperatively, the union of the right proximal tibia had progressed, but nonunion was observed at the right distal corticotomy site. To address this, osteosynthesis with tricortical iliac bone allograft was performed after the removal of the Ilizarov external fixator. After 6\u00a0months, the union of the distal tibia was confirmed, and the varus deformity of proximal and distal tibia improved. The LLD was also decreased, but the left lower limb was still longer by 3\u00a0cm. This report shows that vascularized fibular autografts can potentially be used for the gradual correction of LLD and deformities. However, for the treatment of multiple deformities in bones previously reconstructed with vascularized fibular graft, the possibility of impaired bone forming potential of the fibular graft should be considered.<\/jats:p>","DOI":"10.1177\/23094990211044549","type":"journal-article","created":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T23:19:10Z","timestamp":1634339950000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Lengthening and deformity correction in vascularized fibular autograft for a patient with Ewing sarcoma"],"prefix":"10.1177","volume":"29","author":[{"given":"Ki Bum","family":"Kwon","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Gyeonggi, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chin Youb","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Gyeonggi, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moon Seok","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Gyeonggi, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyoung Min","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Gyeonggi, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5007-2403","authenticated-orcid":false,"given":"Ki Hyuk","family":"Sung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Gyeonggi, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,10,15]]},"reference":[{"key":"bibr1-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e318254a933"},{"key":"bibr2-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620x.79b3.14191"},{"key":"bibr3-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197505000-00002"},{"key":"bibr4-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2018.09.042"},{"key":"bibr5-23094990211044549","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199501000-00008"},{"key":"bibr6-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199109000-00026"},{"key":"bibr7-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620x.79b3.7198"},{"key":"bibr8-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199911000-00024"},{"key":"bibr9-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B7.14822"},{"key":"bibr10-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200402000-00042"},{"key":"bibr11-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1055\/s-2001-16597"},{"key":"bibr12-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.05.014"},{"key":"bibr13-23094990211044549","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.182.4.1820963"},{"key":"bibr14-23094990211044549","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200105000-00007"},{"key":"bibr15-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199001000-00002"},{"key":"bibr16-23094990211044549","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200407000-00021"},{"key":"bibr17-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.100B4.BJJ-2017-0830.R1"},{"key":"bibr18-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000464"},{"key":"bibr19-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1097\/bpb.0b013e3283330207"},{"key":"bibr20-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1097\/BLO.0b013e31802c7932"},{"key":"bibr21-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2008.19.1478"},{"key":"bibr22-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1007\/BF02620523"},{"key":"bibr23-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199705000-00005"},{"key":"bibr24-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.94B1.27784"},{"key":"bibr25-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200301000-00011"},{"key":"bibr26-23094990211044549","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197456030-00007"},{"key":"bibr27-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198505020-00011"},{"key":"bibr28-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-200110030-00014"},{"key":"bibr29-23094990211044549","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199905000-00001"},{"key":"bibr30-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-018-3794-1"},{"key":"bibr31-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.71B2.2925743"},{"key":"bibr32-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.73B4.2071658"},{"key":"bibr33-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198611000-00018"},{"key":"bibr34-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1080\/000164702317281486"},{"key":"bibr35-23094990211044549","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-0266(01)00082-1"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23094990211044549","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23094990211044549","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23094990211044549","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:31:29Z","timestamp":1777595489000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23094990211044549"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":35,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,9,1]]}},"alternative-id":["10.1177\/23094990211044549"],"URL":"https:\/\/doi.org\/10.1177\/23094990211044549","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9]]},"article-number":"23094990211044549"}}