{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:41:18Z","timestamp":1787755278673,"version":"build-2784847793"},"reference-count":12,"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>\n                      A 53-year-old man sustained a severe open distal radius and ulna fracture with approximately 7-cm osteoarticular bone loss, extensive extensor musculotendinous junction avulsions, and radial nerve disruption. Acute 3-cm forearm shortening restored tendon tension and reduced defect size, enabling primary tendon reconstruction with pull-in sutures and nerve repair. Early staged free vascularized fibular grafting was performed. Despite postoperative Pseudomonas aeruginosa\n                      <jats:italic toggle=\"yes\">i<\/jats:italic>\n                      nfection requiring implant removal and local antibiotics, solid union was achieved with preserved forearm rotation at 2 years.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Acute bone shortening facilitates simultaneous tendon reconstruction and defect reduction, expanding limb-salvage options in complex distal forearm osteoarticular injuries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.26.00090","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T09:58:37Z","timestamp":1778579917000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Limb Salvage of a Massive Distal Radius and Ulna Osteoarticular Defect Using Acute Bone Shortening"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7890-292X","authenticated-orcid":false,"given":"Tatsuhiko","family":"Muraoka","sequence":"first","affiliation":[{"name":"Trauma Reconstruction Center, Department of Orthopaedic Surgery, Yonemori Hospital, Kagoshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1682-4496","authenticated-orcid":false,"given":"Yoshinori","family":"Ueno","sequence":"additional","affiliation":[{"name":"Trauma Reconstruction Center, Department of Orthopaedic Surgery, Yonemori Hospital, Kagoshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Asami","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstruction Surgery, Yonemori Hospital, Kagoshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4]]},"reference":[{"issue":"3","key":"bib1-20260515","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/S0749-0712(21)00934-3","article-title":"Vascularized bone grafts to the upper extremity. 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