{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:41:19Z","timestamp":1787755279730,"version":"build-2784847793"},"reference-count":22,"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>A 78-year-old Chinese man presented to our unit with chronic tophaceous gout complicated by osteomyelitis of the left first metatarsophalangeal joint (1MTPJ). The patient underwent multiple debridements, resulting in a critical bone defect. Reconstruction of the first ray with 1MTPJ arthrodesis was performed using a vascularized medial femoral condyle free flap (MFC-FF). At the 1-year follow-up, plain radiographs demonstrated satisfactory bony union and patient-reported outcome measures were optimal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The MFC-FF can be an effective option for reconstruction of small bone defects in the foot due to osteomyelitis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00537","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T09:58:48Z","timestamp":1778579928000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Medial Femoral Condyle Vascularized Graft for First Ray Arthrodesis and Reconstruction"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3518-8907","authenticated-orcid":false,"given":"Mark 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