{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:35Z","timestamp":1787755595629,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>Pediatric posttraumatic tibiofibular synostosis (PPTFS) is a rare postfracture complication that often leads to growth abnormalities. There are very few reports demonstrating the long-term efficacy of surgical treatment. An 11-year-old boy with PPTFS displayed progressive prominence of the fibular head and shortening of the lateral malleolus subsequent to a fracture suffered at the age of 5 years. He was treated by synostosis resection and a peroneal artery perforator adipofascial flap. Eight years postoperatively, the synostosis had not recurred, and his earlier growth abnormalities were nearly normal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Peroneal artery perforator adipofascial flap is effective for pregrowth spurt PPTFS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.18.00280","type":"journal-article","created":{"date-parts":[[2019,11,17]],"date-time":"2019-11-17T18:45:39Z","timestamp":1574016339000},"page":"e0280-e0280","source":"Crossref","is-referenced-by-count":1,"title":["Successful Treatment of Pediatric Posttraumatic Tibiofibular Synostosis by Resection and Peroneal Artery Perforator Adipofascial Flap"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0209-3098","authenticated-orcid":false,"given":"Kazuaki","family":"Nemoto","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6106-7186","authenticated-orcid":false,"given":"Noriko","family":"Sakai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagano Children's Hospital, Azumino, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2566-0780","authenticated-orcid":false,"given":"Satoshi","family":"Matsuda","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagano Municipal Hospital, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4996-632X","authenticated-orcid":false,"given":"Hiroyuki","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"6","key":"bib1-20230811","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1177\/107110070402500613","article-title":"Posttraumatic paediatric distal tibiofibular synostosis: a case report","volume":"25","author":"Munjal","year":"2004","journal-title":"Foot Ankle Int."},{"issue":"8","key":"bib2-20230811","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1097\/BPO.0000000000000708","article-title":"Posttraumatic tibiofibular synostosis after treatment of distal tibiofibular fractures in children","volume":"37","author":"Jung","year":"2017","journal-title":"J Pediatr Orthop."},{"issue":"2","key":"bib3-20230811","doi-asserted-by":"crossref","first-page":"247","DOI":"10.2106\/00004623-200102000-00013","article-title":"Altered fibular growth patterns after tibiofibular synostosis in 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Surg."},{"issue":"8","key":"bib7-20230811","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.2106\/00004623-199808000-00012","article-title":"Mobilization of a congenital proximal radioulnar synostosis with use of a free vascularized fascio-fat graft","volume":"80","author":"Kanaya","year":"1998","journal-title":"J Bone Joint Surg Am."},{"issue":"8","key":"bib8-20230811","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1016\/j.jse.2016.04.009","article-title":"Long-term results after a free vascularized adipofascial graft for congenital proximal radioulnar synostosis with an average follow-up of 10 years: a series of four cases","volume":"25","author":"Kanaya","year":"2016","journal-title":"J Shoulder Elbow Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.18.00280","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:45:40Z","timestamp":1787751940000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.18.00280"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":8,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.18.00280","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019]]}}}