{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:17Z","timestamp":1783509257274,"version":"3.55.0"},"reference-count":15,"publisher":"MDPI AG","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,3,1]]},"abstract":"<jats:p>Reconstruction of large bone defects of the metatarsals, whether resulting from trauma, infection, or a neoplastic process, can be especially challenging when attempting to maintain an anatomical parabola and basic biomechanical stability of the forefoot. We present the case of a 42-year-old man with no significant medical history who presented to the emergency department following a severe lawnmower injury to the left forefoot resulting in a large degloving type injury along the medial aspect of the left first ray extending to the level of the medial malleolus. The patient underwent emergent debridement with application of antibiotic bone cement, external fixation, and a negative-pressure dressing. He was subsequently treated with split-thickness skin graft and iliac crest tricortical autograft using a locking plate construct for reconstruction of the distal first ray. Although the patient failed to advance to radiographic osseous union, clinically there was no motion at the attempted fusion site and no pain with ambulation, suggestive of a pseudoarthrosis. The patient has since progressed to full nonpainful weightbearing in regular shoes and has returned to normal activities of daily living. The patient returned to his preinjury level of work and has had complete resolution of all wounds including his split-thickness skin graft donor site. This case shows the potential efficacy of the Masquelet technique for spanning significant traumatic bone defects of the metatarsals involving complete loss of the metatarsophalangeal joint.<\/jats:p>","DOI":"10.7547\/18-019","type":"journal-article","created":{"date-parts":[[2020,6,5]],"date-time":"2020-06-05T01:49:56Z","timestamp":1591321796000},"source":"Crossref","is-referenced-by-count":2,"title":["Reconstruction of a Traumatic Partial First-Ray Amputation with the Use of an Induced Pseudosynovial Membrane and Corticocancellous Autograft"],"prefix":"10.3390","volume":"110","author":[{"given":"Nathaniel L. P.","family":"Preston","sequence":"first","affiliation":[{"name":"Grant Medical Center Foot and Ankle Surgery Residency Program, Columbus, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trevor E.","family":"Black","sequence":"additional","affiliation":[{"name":"Grant Medical Center Foot and Ankle Surgery Residency Program, Columbus, OH."},{"name":"Southeast Permanente Foot and Ankle Trauma and Reconstructive Fellowship, Atlanta, GA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randall C.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Grant Medical Center Foot and Ankle Surgery Residency Program, Columbus, OH."},{"name":"Private practice, Clintonville Foot and Ankle, Columbus, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"i8750-7315-110-2-Article_8-b01","series-title":"J Am Acad Orthop Surg","doi-asserted-by":"publisher","first-page":"142","DOI":"10.5435\/JAAOS-20-03-142","article-title":"Induced membrane technique for reconstruction to manage bone loss","volume":"20","author":"Taylor","year":"2012","unstructured":"Taylor\n              BC.\n            \n            \n              French\n              BG.\n            \n            \n              Fowler\n              TT.\n            \n            :\n\t\t\t\t\t\n          Induced membrane technique for reconstruction to manage bone loss.\n\t\t\t\t\tJ Am Acad Orthop Surg20: \n\t\t\t\t\t142,\n\t\t\t\t\t2012.\n\t\t\t\t10.5435\/JAAOS-20-03-14222382286"},{"key":"i8750-7315-110-2-Article_8-b02","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"2223","DOI":"10.1097\/01.PRS.0000060116.21049.53","article-title":"Bone reconstruction of the lower extremity: complications and outcomes","volume":"111","author":"Pelissier","year":"2003","unstructured":"Pelissier\n              P.\n            \n            \n              Boireau\n              P.\n            \n            \n              Martin\n              D.\n            \n            :\n\t\t\t\t\t\n          Bone reconstruction of the lower extremity: complications and outcomes.\n\t\t\t\t\tPlast Reconstr Surg111: \n\t\t\t\t\t2223,\n\t\t\t\t\t2003.\n\t\t\t\t10.1097\/01.PRS.0000060116.21049.5312794463"},{"issue":"(suppl)","key":"i8750-7315-110-2-Article_8-b03","series-title":"Injury","doi-asserted-by":"publisher","first-page":"S72","DOI":"10.1016\/S0020-1383(10)70014-0","article-title":"Reamer-irrigator-aspirator bone graft and bi Masquelet technique for segmental bone defect nonunions: a review of 25 cases","volume":"41","author":"Stafford","year":"2010","unstructured":"Stafford\n              PR.\n            \n            \n              Norris\n              BL.\n            \n          \n          Reamer-irrigator-aspirator bone graft and bi Masquelet technique for segmental bone defect nonunions: a review of 25 cases.\n\t\t\t\t\tInjury41(suppl): S72,\n\t\t\t\t\t2010.\n\t\t\t\t2114493310.1016\/S0020-1383(10)70014-0http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000285043600014&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-110-2-Article_8-b04","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"2227","DOI":"10.2106\/JBJS.J.01513","article-title":"Autogenous bone graft: donor sites and techniques","volume":"93","author":"Myeroff","year":"2011","unstructured":"Myeroff\n              C.\n            \n            \n              Archdeacon\n              M.\n            \n          \n          Autogenous bone graft: donor sites and techniques.\n\t\t\t\t\tJ Bone Joint Surg Am93: \n\t\t\t\t\t2227,\n\t\t\t\t\t2011.\n\t\t\t\t10.2106\/JBJS.J.0151322159859http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000298025300012&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-110-2-Article_8-b05","series-title":"J Am Acad Orthop Surg","doi-asserted-by":"publisher","first-page":"28","DOI":"10.5435\/00124635-200401000-00005","article-title":"Management of posttraumatic segmental bone defects","volume":"12","author":"DeCoster","year":"2004","unstructured":"DeCoster\n              TA.\n            \n            \n              Gehlert\n              RJ.\n            \n            \n              Mikola\n              EA.\n            \n            :\n\t\t\t\t\t\n          Management of posttraumatic segmental bone defects.\n\t\t\t\t\tJ Am Acad Orthop Surg12: \n\t\t\t\t\t28,\n\t\t\t\t\t2004.\n\t\t\t\t10.5435\/00124635-200401000-0000514753795"},{"key":"i8750-7315-110-2-Article_8-b06","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"1861","DOI":"10.2106\/JBJS.H.01105","article-title":"Free vascularized fibular transfer for femoral head osteonecrosis: donor site and graft site morbidity","volume":"91","author":"Gaskill","year":"2009","unstructured":"Gaskill\n              TR.\n            \n            \n              Urbaniak\n              JR.\n            \n            \n              Aldridge\n              JM III.\n            \n          \n          Free vascularized fibular transfer for femoral head osteonecrosis: donor site and graft site morbidity.\n\t\t\t\t\tJ Bone Joint Surg Am91: \n\t\t\t\t\t1861,\n\t\t\t\t\t2009.\n\t\t\t\t19651942http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000268647100004&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f310.2106\/JBJS.H.01105"},{"key":"i8750-7315-110-2-Article_8-b07","series-title":"J Am Acad Orthop Surg","doi-asserted-by":"publisher","first-page":"77","DOI":"10.5435\/00124635-200501000-00010","article-title":"The biology of bone grafting","volume":"13","author":"Khan","year":"2005","unstructured":"Khan\n              SN.\n            \n            \n              Cammisa\n              FP.\n            \n            \n              Harvinder\n              SS.\n            \n            :\n\t\t\t\t\t\n          The biology of bone grafting.\n\t\t\t\t\tJ Am Acad Orthop Surg13: \n\t\t\t\t\t77,\n\t\t\t\t\t2005.\n\t\t\t\t10.5435\/00124635-200501000-0001015712985"},{"key":"i8750-7315-110-2-Article_8-b08","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1016\/j.jhsa.2014.12.007","article-title":"Masquelet technique for treatment of segmental bone loss in the upper extremity","volume":"40","author":"Micev","year":"2015","unstructured":"Micev\n              AJ.\n            \n            \n              Kalainov\n              DM.\n            \n            \n              Soneru\n              AP.\n            \n          \n          Masquelet technique for treatment of segmental bone loss in the upper extremity.\n\t\t\t\t\tJ Hand Surg Am40: \n\t\t\t\t\t593,\n\t\t\t\t\t2015.\n\t\t\t\t10.1016\/j.jhsa.2014.12.00725648786"},{"key":"i8750-7315-110-2-Article_8-b09","series-title":"Ann Chir Plast Esthet","first-page":"346","article-title":"Reconstruction of long bones induced membrane and spongy autograft [in French]","volume":"45","author":"Masquelet","year":"2000","unstructured":"Masquelet\n              AC.\n            \n            \n              Fitoussi\n              F.\n            \n            \n              B\u00e9gu\u00e9\n              T.\n            \n            :\n\t\t\t\t\t\n          Reconstruction of long bones induced membrane and spongy autograft [in French].\n\t\t\t\t\tAnn Chir Plast Esthet45: \n\t\t\t\t\t346,\n\t\t\t\t\t2000.\n\t\t\t\t10929461"},{"key":"i8750-7315-110-2-Article_8-b10","series-title":"Langenbecks Arch Surg","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1007\/s00423-003-0379-1","article-title":"Muscle reconstruction in reconstructive surgery: soft tissue repair and long bone reconstruction","volume":"388","author":"Masquelet","year":"2003","unstructured":"Masquelet\n              AC.\n            \n          \n          Muscle reconstruction in reconstructive surgery: soft tissue repair and long bone reconstruction.\n\t\t\t\t\tLangenbecks Arch Surg388: \n\t\t\t\t\t344,\n\t\t\t\t\t2003.\n\t\t\t\t10.1007\/s00423-003-0379-113680234"},{"key":"i8750-7315-110-2-Article_8-b11","series-title":"J Orthop Trauma","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1097\/BOT.0000000000000614","article-title":"Membrane induced osteogenesis in the management of post-traumatic bone defects","volume":"30","author":"Azi","year":"2016","unstructured":"Azi\n              ML.\n            \n            \n              Teixeira\n              A.\n            \n            \n              Cotias\n              RB.\n            \n            :\n\t\t\t\t\t\n          Membrane induced osteogenesis in the management of post-traumatic bone defects.\n\t\t\t\t\tJ Orthop Trauma30: \n\t\t\t\t\t545,\n\t\t\t\t\t2016.\n\t\t\t\t10.1097\/BOT.0000000000000614"},{"key":"i8750-7315-110-2-Article_8-b12","series-title":"Orthop Traumatol Surg Res","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1016\/j.otsr.2011.11.001","article-title":"Treatment of posttraumatic bone defects by the induced membrane technique","volume":"98","author":"Kargera","year":"2012","unstructured":"Kargera\n              C.\n            \n            \n              Kishi\n              T.\n            \n            \n              Schneidera\n              L.\n            \n            :\n\t\t\t\t\t\n          Treatment of posttraumatic bone defects by the induced membrane technique.\n\t\t\t\t\tOrthop Traumatol Surg Res98: \n\t\t\t\t\t97,\n\t\t\t\t\t2012.\n\t\t\t\t22244249http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000300392900014&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f310.1016\/j.otsr.2011.11.001"},{"key":"i8750-7315-110-2-Article_8-b13","series-title":"Injury","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1016\/j.injury.2011.03.036","article-title":"Masquelet technique for the treatment of bone defects: tips-tricks and future directions","volume":"42","author":"Giannoudis","year":"2011","unstructured":"Giannoudis\n              PV.\n            \n            \n              Faour\n              O.\n            \n            \n              Goff\n              T.\n            \n            :\n\t\t\t\t\t\n          Masquelet technique for the treatment of bone defects: tips-tricks and future directions.\n\t\t\t\t\tInjury42: \n\t\t\t\t\t591,\n\t\t\t\t\t2011.\n\t\t\t\t10.1016\/j.injury.2011.03.036http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000291245800009&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f321543068"},{"key":"i8750-7315-110-2-Article_8-b14","series-title":"J Orthop Res","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1016\/S0736-0266(03)00165-7","article-title":"Induced membranes secrete growth factors including vascular and osteoinductive factors and could stimulate bone regeneration","volume":"22","author":"Pelissier","year":"2004","unstructured":"Pelissier\n              P.\n            \n            \n              Masquelet\n              AC.\n            \n            \n              Bareille\n              R.\n            \n            :\n\t\t\t\t\t\n          Induced membranes secrete growth factors including vascular and osteoinductive factors and could stimulate bone regeneration.\n\t\t\t\t\tJ Orthop Res22: \n\t\t\t\t\t73,\n\t\t\t\t\t2004.\n\t\t\t\t1465666210.1016\/S0736-0266(03)00165-7"},{"issue":"(suppl 16)","key":"i8750-7315-110-2-Article_8-b15","series-title":"Orthop Proc","first-page":"22","article-title":"The Masquelet technique induces the formation of a mesenchymal stem cell-rich periosteum-like membrane","volume":"95","author":"Tan","year":"2013","unstructured":"Tan\n              HB.\n            \n            \n              Cuthbert\n              RJ.\n            \n            \n              Jones\n              E.\n            \n            :\n\t\t\t\t\t\n          The Masquelet technique induces the formation of a mesenchymal stem cell-rich periosteum-like membrane.\n\t\t\t\t\tOrthop Proc95(suppl 16): 22,\n\t\t\t\t\t2013."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/110\/2\/i8750-7315-110-2-article_8.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/japma\/article-pdf\/doi\/10.7547\/18-019\/2494372\/i8750-7315-110-2-article_8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/110\/2\/i8750-7315-110-2-article_8.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/110\/2\/i8750-7315-110-2-article_8.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:17:51Z","timestamp":1783505871000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/110\/2\/18019"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020,3,1]]},"references-count":15,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.7547\/18-019","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2020,3,1]]}}}