{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:10Z","timestamp":1787755150679,"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>Case:<\/jats:title>\n                    <jats:p>A 15-year-old adolescent boy sustained a Gustilo-Anderson type III-B tibiofibular open fracture after a motorcycle collision. This injury and subsequent debridement resulted in a 15-cm defect in the tibial bone and skin. He underwent skin grafting and staged tibialization of the fibula to reconstruct a segmental tibial bone defect, stabilized using a double internal locking plate. At 10 months postoperatively, bony union was achieved, and the patient demonstrated favorable limb function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Staged tibialization of the ipsilateral fibula as a pedicle graft is a viable option for treating segmental defects of the tibia without the need for microsurgical techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00310","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:00:37Z","timestamp":1760032837000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Staged Tibialization of the Fibula for a Large Segmental Tibial Defect"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8244-0434","authenticated-orcid":false,"given":"Seyed Abolfazl","family":"Ghadiri","sequence":"first","affiliation":[{"name":"Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0907-9355","authenticated-orcid":false,"given":"Soroosh","family":"Fateh","sequence":"additional","affiliation":[{"name":"Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10]]},"reference":[{"issue":"11","key":"bib1-20251009","doi-asserted-by":"crossref","first-page":"45","DOI":"10.13107\/jocr.2024.v14.i11.4910","article-title":"Resistant and refractory distal tibia non-union using an intramedullary free fibular graft and Ilizarov fixation: an illustrative case report","volume":"14","author":"Aravind","year":"2024","journal-title":"J Orthop Case Rep."},{"issue":"suppl 1","key":"bib2-20251009","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.jcot.2016.03.001","article-title":"Natural tibialization of fibula in non-union tibia: two cases","volume":"7","author":"Prabhat","year":"2016","journal-title":"J Clin Orthop Trauma."},{"issue":"suppl 2","key":"bib3-20251009","doi-asserted-by":"crossref","first-page":"111465","DOI":"10.1016\/j.injury.2024.111465","article-title":"Can locking plate fixation and free vascularised fibular transfer with skin island achieve good functional outcome in the treatment of large bone defects of tibia? 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