{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:37Z","timestamp":1787755837808,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"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>Diaphyseal nonunions after bone tumor resection present a significant reconstructive challenge. We report a 39-year-old woman who developed a diaphyseal humeral nonunion after giant cell tumor resection and reconstruction with vascularized fibula graft. She presented with symptomatic segmental bone loss and hardware failure. Two-stage Masquelet-induced membrane procedure was performed, resulting in complete union and excellent functional recovery at 12 months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case highlights the potential of the Masquelet technique in reconstruction of refractory nonunions despite previous failed reconstructive attempts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00717","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T18:00:17Z","timestamp":1773338417000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Masquelet Technique for Salvage of Failed Vascularized Fibular Graft Nonunion After Humeral Tumor Resection"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6779-6507","authenticated-orcid":false,"given":"Behdad","family":"Ravarian","sequence":"first","affiliation":[{"name":"Hand Program, Division of Plastic, Reconstructive and Aesthetic Surgery, Toronto Western Hospital, University Health Network, Department of Surgery, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"},{"name":"Division of Orthopedics, Osteoarthritis Research Program, Schroeder Arthritis Institute, University Health Network, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5390-8977","authenticated-orcid":false,"given":"Norah-Faye","family":"Matthies","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8266-1675","authenticated-orcid":false,"given":"Sam","family":"Keshen","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3461-3641","authenticated-orcid":false,"given":"Jessica","family":"Guo","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7886-8369","authenticated-orcid":false,"given":"Jonathan","family":"Persitz","sequence":"additional","affiliation":[{"name":"Hand Program, Division of Plastic, Reconstructive and Aesthetic Surgery, Toronto Western Hospital, University Health Network, Department of Surgery, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"},{"name":"Division of Orthopaedic Surgery, Department of Surgery, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0460-2901","authenticated-orcid":false,"given":"Ryan A.","family":"Paul","sequence":"additional","affiliation":[{"name":"Hand Program, Division of Plastic, Reconstructive and Aesthetic Surgery, Toronto Western Hospital, University Health Network, Department of Surgery, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"},{"name":"Division of Orthopaedic Surgery, Department of Surgery, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"issue":"1","key":"bib1-20260312","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.ocl.2009.07.011","article-title":"The concept of induced membrane for reconstruction of long bone defects","volume":"41","author":"Masquelet","year":"2010","journal-title":"Orthop Clin North America."},{"issue":"4","key":"bib2-20260312","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1002\/jor.24978","article-title":"Masquelet's induced membrane technique: review of current concepts and future directions","volume":"39","author":"Alford","year":"2021","journal-title":"J Orthop Res."},{"issue":"5","key":"bib3-20260312","first-page":"348","article-title":"Is Masquelet technique a successful viable treatment in reconstructing large tumor bone gaps in adolescent and adult?","volume":"11","author":"Sharma","year":"2023","journal-title":"Arch Bone Joint Surg."},{"issue":"3","key":"bib4-20260312","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.ocl.2019.03.001","article-title":"The reamer-irrigator-aspirator in nonunion surgery","volume":"50","author":"Madison","year":"2019","journal-title":"Orthop Clin North America."},{"key":"bib5-20260312","doi-asserted-by":"crossref","DOI":"10.1136\/rapm-2025-107388","article-title":"Ultrasound-guided motor-sparing forearm blocks for hand surgery: surgical and anesthetic perspectives","author":"Kowa","year":"2025","journal-title":"Reg Anesth Pain Med"},{"issue":"6","key":"bib6-20260312","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1308\/rcsann.2023.0022","article-title":"A review of the Masquelet technique in the treatment of lower limb critical-size bone defects","volume":"107","author":"Ahmed","year":"2025","journal-title":"Ann R Coll Surgeons Engl."},{"issue":"1","key":"bib7-20260312","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1007\/s00402-021-03962-5","article-title":"Vascularized fibular grafts for the treatment of long bone defects: pros and cons. A systematic review and meta-analysis","volume":"143","author":"Feltri","year":"2023","journal-title":"Arch Orthop Trauma Surg."},{"issue":"3","key":"bib8-20260312","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1177\/1558944720918368","article-title":"An analysis of complications and bone defect length with the use of induced membrane technique in the upper limb: a systematic review","volume":"17","author":"O'Connor","year":"2022","journal-title":"Hand."},{"issue":"1","key":"bib9-20260312","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/s10195-024-00815-w","article-title":"Masquelet's induced membrane technique in the upper limb: a systematic review of the current outcomes","volume":"26","author":"Pederiva","year":"2025","journal-title":"J Orthop Traumatol."},{"issue":"1","key":"bib10-20260312","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1080\/00016470310013734","article-title":"Recalcitrant posttraumatic nonunion of the humerus: 23 patients reconstructed with vascularized bone graft: 23 patients reconstructed with vascularized bone graft","volume":"74","author":"Muramatsu","year":"2003","journal-title":"Acta Orthopaedica Scand."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00717","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:52:37Z","timestamp":1787752357000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00717"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00717","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}