{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:47:00Z","timestamp":1787755620808,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","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 12-year-old girl with post-traumatic destruction of the radiolunate joint underwent CT-based three-dimensional (3D) planning with patient-specific guides\/plate and a free, nonvascularized transfer of the second metatarsophalangeal joint: the proximal phalanx base resurfaced the lunate fossa and the second metatarsal head reconstructed the lunate using Osteochondral Autologous Transfer System. At 1 year, wrist pain resolved, near normal range of motion was achieved with a DASH score of 5. CT showed complete graft integration. Gait analysis showed no clinically relevant donor-site deficit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>3D-planned, osteochondral reconstruction of radiolunate articulation using grafts from the second metatarsophalangeal joint can preserve motion with minimal donor morbidity in skeletally immature patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      Case report,\n                      <jats:underline>Level V<\/jats:underline>\n                      .\n                    <\/jats:p>\n                  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