{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:09Z","timestamp":1787755149643,"version":"build-2784847793"},"reference-count":16,"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>Cases:<\/jats:title>\n                    <jats:p>A 69-year-old woman and a 56-year-old woman with multiply revised humeral shaft-infected nonunions underwent free-vascularized fibular flaps with subsequent failure. Both patients were then successfully treated with a novel surgical technique involving nonunion repair using an interlocked retrograde fibular intramedullary nail and a distal humerus plate construct. This technique is described in detail.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Nonunion repair with an interlocked nail-plate construct is a viable treatment option for recalcitrant humeral shaft nonunion in the setting of a failed free-vascularized fibular flap.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00250","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:00:38Z","timestamp":1760032838000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Humerus Plate-Nail Construct for Salvage of Humeral Nonunion with Failed Free Fibula 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