{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:51:36Z","timestamp":1787755896253,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case report:<\/jats:title>\n                    <jats:p>This report describes a 22-year-old man who sustained a severe left ankle injury caused by a lawnmower at the age of 4 years, resulting in loss of the lateral malleolus. He was treated with a pedicled composite flap using the ipsilateral second metatarsal and was followed until skeletal maturity. A favorable functional outcome was maintained for 15 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>At final follow-up after growth completion, no limb length discrepancy was observed. The ankle was stable, painless, and preserved good range of motion, with no significant donor site morbidity. This surgical technique represents a technically simpler alternative with lower morbidity compared with vascularized proximal fibular epiphyseal transfer for lateral malleolus reconstruction in growing children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00244","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T19:00:11Z","timestamp":1764874811000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Long-Term Outcomes on Bone Growth Following Reconstruction of the Distal Fibula Using a Pedicled Second Metatarsal Osteomyocutaneous Flap in Children"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4171-1801","authenticated-orcid":false,"given":"Thomas","family":"Yvonnet","sequence":"first","affiliation":[{"name":"Department of Orthopedic and Traumatologic Surgery, CHU de Rennes H\u00f4pital Pontchaillou, Rennes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1003-2076","authenticated-orcid":false,"given":"Wy\u00e7al","family":"Saraoui","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, and Aesthetic Surgery, CHU de Brest H\u00f4pital de La Cavale Blanche, Brest, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"Fraisse","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, CHU de Rennes H\u00f4pital Sud, Rennes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9978-5618","authenticated-orcid":false,"given":"Weiguo","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, and Aesthetic Surgery, CHU de Brest H\u00f4pital de La Cavale Blanche, Brest, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10]]},"reference":[{"issue":"20","key":"bib1-20251204","doi-asserted-by":"crossref","first-page":"1719","DOI":"10.2106\/JBJS.18.00096","article-title":"Pediatric lawn-mower injuries presenting at a Level-I trauma center, 1995 to 2015: a danger to our youngest children","volume":"100","author":"Fletcher","year":"2018","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"bib2-20251204","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1177\/0033354918785909","article-title":"Incidence, distribution, and cost of lawn-mower injuries in the United States, 2006-2013","volume":"133","author":"Hottinger","year":"2018","journal-title":"Public Health Rep."},{"issue":"1S","key":"bib3-20251204","doi-asserted-by":"crossref","first-page":"103771","DOI":"10.1016\/j.otsr.2023.103771","article-title":"Open fractures of the limbs in children and 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