{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T07:44:46Z","timestamp":1775720686905,"version":"3.50.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Osteomyelitis in children typically affects the metaphysis of long bones, most commonly the femur and tibia. Fibular involvement is rare, accounting for &lt;10% of pediatric osteomyelitis cases. Pan-diaphyseal involvement is even rarer.\n\nCase Report: A 7-year-old girl presented with a chronic discharging sinus, pain, and swelling in the right leg for 10 months following minor trauma. Radiographs and magnetic resonance imaging revealed chronic pan-diaphyseal osteomyelitis of the fibula with a pathological fracture. After failed conservative management, she underwent sequestrectomy and near-total fibulectomy, preserving the distal 5 cm to maintain ankle stability. Intraoperative cultures confirmed methicillin-sensitive Staphylococcus aureus, and she received targeted antibiotic therapy. She achieved full recovery with a normal gait and no recurrence at 3-month follow-up.\n\nConclusion: This case highlights the importance of early suspicion and aggressive surgical management for chronic fibular osteomyelitis in children. Near-total fibulectomy is feasible and functionally successful when the distal fibula is preserved.\n\nKeywords: Osteomyelitis, fibula, pediatric, fibulectomy.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i04.7108","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T06:48:27Z","timestamp":1775717307000},"page":"247-251","source":"Crossref","is-referenced-by-count":0,"title":["A Rare Case of Chronic Pan-Diaphyseal Osteomyelitis of the Fibula in a Child Treated by Near Total Fibulectomy: A Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"Venkataramana","family":"Kuruba","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Sciences, Guntur, Andhra Pradesh, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elandevan","family":"Gunasekaran","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Sciences, Guntur, Andhra Pradesh, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vignesh","family":"Chandrasekar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Sciences, Guntur, Andhra Pradesh, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nataraj Agrahara","family":"Rangashamaiah","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Sciences, Guntur, Andhra Pradesh, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Showry","family":"Abraham","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Sciences, Guntur, Andhra Pradesh, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabaricharan","family":"Shanmugam","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Sciences, Guntur, Andhra Pradesh, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T06:48:28Z","timestamp":1775717308000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/04\/a-rare-case-of-chronic-pan-diaphyseal-osteomyelitis-of-the-fibula-in-a-child-treated-by-near-total-fibulectomy-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i04.7108","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}