{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:10Z","timestamp":1787755510606,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We describe 2 case studies, involving a 10-year-old girl with an aneurysmal bone cyst and a 12-year-old adolescent boy with Ewing sarcoma. The patient with Ewing sarcoma was previously managed with wide surgical excision and fibular graft reconstruction and subsequently experienced significant graft resorption, hardware failure, and fracture 24 months after operation. A revision limb salvage attempt was undertaken. In both cases, fibular strut grafts were harvested and fixed with intramedullary k-wires to recreate the medial and lateral columns of the distal humeral triangle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The technique achieved complete osseous integration, structural support, and functional restoration of the elbow in both cases, with good functional outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00539","type":"journal-article","created":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T14:00:39Z","timestamp":1719237639000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Novel Dual Bicolumnar Fibula Graft Reconstruction of Distal Humerus in Pediatric Patients After Massive Bone Resection"],"prefix":"10.2106","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2970-6432","authenticated-orcid":false,"given":"Mohamed Abdel Rahman","family":"Mustafa","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Ain Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1750-0530","authenticated-orcid":false,"given":"Aaron","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1319-4831","authenticated-orcid":false,"given":"Ariel N.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5650-2219","authenticated-orcid":false,"given":"Ayman Mohammad","family":"El Masry","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ain Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1850-0439","authenticated-orcid":false,"given":"Sherif Ishak","family":"Azmy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ain Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9083-8801","authenticated-orcid":false,"given":"Maghrabi Mohamed","family":"Abdel Aal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ain Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0112-4147","authenticated-orcid":false,"given":"Amr Atef","family":"Abdelgawad","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,4]]},"reference":[{"issue":"3","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.otsr.2011.11.008","article-title":"Induced membrane technique for reconstruction after bone tumor resection in children: a preliminary study","volume":"98","author":"Chotel","year":"2012","journal-title":"Orthopaedics Traumatol Surg Res."},{"issue":"3","key":"bib2-20240805","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.CC.22.00254","article-title":"Osteochondral allograft reconstruction of a pediatric distal humerus fracture with articular bone loss: a case report","volume":"12","author":"Norrell","year":"2022","journal-title":"JBJS Case Connect."},{"issue":"7","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1016\/j.otsr.2017.05.027","article-title":"The role of the periosteal sleeve in the reconstruction of bone defects using a non-vascularised fibula graft in the pediatric population","volume":"103","author":"Steiger","year":"2017","journal-title":"Orthopaedics Traumatol Surg Res."},{"issue":"1","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/s11999-007-0011-8","article-title":"Osteoarticular and total elbow allograft reconstruction with severe bone loss","volume":"466","author":"Kharrazi","year":"2008","journal-title":"Clin Orthop Relat Res."},{"key":"bib6-20240805","first-page":"e24","article-title":"Reconstruction of a severe open distal humerus fracture with complete loss of medial column by using a free fibular osteocutaneous graft","volume":"8","author":"Kouvidis","year":"2008","journal-title":"Eplasty."},{"issue":"4","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1302\/0301-620X.69B4.3611176","article-title":"Endoprosthetic replacement of the humerus and elbow joint","volume":"69","author":"Ross","year":"1987","journal-title":"J Bone Joint Surg Br."},{"issue":"4","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/S0883-5403(08)80095-2","article-title":"Total elbow arthroplasty","volume":"5","author":"Brumfield","year":"1990","journal-title":"J Arthroplasty."},{"issue":"1","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"9","DOI":"10.4055\/cios.2016.8.1.9","article-title":"Triangular fixation technique for bicolumn restoration in treatment of distal humerus intercondylar fracture","volume":"8","author":"Jung","year":"2016","journal-title":"CiOS Clin Orthop Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00539","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:43:32Z","timestamp":1787751812000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00539"}},"subtitle":["A Report of Two Cases"],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":8,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.23.00539","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4]]}}}