{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T18:49:04Z","timestamp":1792522144277,"version":"4.5.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Managing large segmental bone defects secondary to chronic osteomyelitis is a major challenge in orthopaedic surgery, requiring both long-term and complex management. This study reports the outcome of effectively managing intra-articular tibial 12 cm bone loss secondary to chronic osteomyelitis (COM) with the sequential Masquelet technique followed by cylindrical titanium cage placement.\n\nCase Report: A 37-year-old male with a distal tibia COM underwent a two-stage Masquelet technique with a titanium cage, autograft, and allograft for a 12 cm defect. Despite subsequent complications including plate breakage, varus deformity requiring revision, and plate removal due to skin complications, he achieved full pain-free weight-bearing within 1 year post-cage placement.\n\nDiscussion: This report describes the first documented case of managing COM with this specific combined technique. It demonstrates successful long-term functional recovery in complex distal tibia osteomyelitis, with sustained efficacy over a 2-year follow-up, validating this reconstructive approach despite avoidable post-operative complications.\n\nKeywords: Orthopedic, trauma, osteomyelitis, bone infection, bone defect.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i07.7692","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T05:10:55Z","timestamp":1783660255000},"page":"366-372","source":"Crossref","is-referenced-by-count":1,"title":["Management of Chronic Osteomyelitis Bone Defect with Titanium Cage Combined with the Masquelet Technique: A Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"Talal","family":"Almalki","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Security Forces Hospital, Riyadh, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eyad","family":"Alahmeri","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Security Forces Hospital, Riyadh, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Alshwieer","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Security Forces Hospital, Riyadh, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Alhamoud","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Security Forces Hospital, Riyadh, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Alsalloum","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Security Forces Hospital, Riyadh, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T05:10:58Z","timestamp":1783660258000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/07\/management-of-chronic-osteomyelitis-bone-defect-titanium-cage-combined-with-the-masquelet-technique-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i07.7692","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}