{"id":"https://openalex.org/W7224103733","doi":"https://doi.org/10.1155/cro/2860926","title":"Vascularized Fibula for Early Management of Upper Extremity Trauma With Critical Bone Loss: A Report of Two Cases","display_name":"Vascularized Fibula for Early Management of Upper Extremity Trauma With Critical Bone Loss: A Report of Two Cases","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7224103733","doi":"https://doi.org/10.1155/cro/2860926","pmid":"https://pubmed.ncbi.nlm.nih.gov/42953319","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13715484"},"language":"en","primary_location":{"id":"doi:10.1155/cro/2860926","doi":"https://doi.org/10.1155/cro/2860926","is_oa":true,"landing_page_url":"https://doi.org/10.1155/cro/2860926","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/cro/2860926","source":{"id":"https://openalex.org/S2764806175","display_name":"Case Reports in Orthopedics","issn_l":"2090-6749","issn":["2090-6749","2090-6757"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","vabb-shw"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Orthopedics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/cro/2860926","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5019135104","display_name":"Brian Chen","orcid":"https://orcid.org/0000-0001-6867-5299","observed_orcids":["https://orcid.org/0000-0001-6867-5299"]},"institutions":[{"id":"https://openalex.org/I4210108700","display_name":"Cleveland Clinic Florida","ror":"https://ror.org/0155k7414","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750","https://openalex.org/I4210108700"]},{"id":"https://openalex.org/I4210109487","display_name":"Broward Health Medical Center","ror":"https://ror.org/01jj2sr90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210109487","https://openalex.org/I4210161735"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Brian Chen","raw_affiliation_strings":["Department of Plastic Surgery Broward Health Medical Center  Fort Lauderdale Florida USA  browardhealth.org","Department of Plastic Surgery Cleveland Clinic Florida  Weston Florida USA  clevelandclinic.org"],"raw_orcid":"https://orcid.org/0000-0001-6867-5299","affiliations":[{"raw_affiliation_string":"Department of Plastic Surgery Broward Health Medical Center  Fort Lauderdale Florida USA  browardhealth.org","institution_ids":["https://openalex.org/I4210109487"]},{"raw_affiliation_string":"Department of Plastic Surgery Cleveland Clinic Florida  Weston Florida USA  clevelandclinic.org","institution_ids":["https://openalex.org/I4210108700"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160017023","display_name":"Lindsey Herrod","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108700","display_name":"Cleveland Clinic Florida","ror":"https://ror.org/0155k7414","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750","https://openalex.org/I4210108700"]},{"id":"https://openalex.org/I4210109487","display_name":"Broward Health Medical Center","ror":"https://ror.org/01jj2sr90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210109487","https://openalex.org/I4210161735"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lindsey Herrod","raw_affiliation_strings":["Department of Plastic Surgery Broward Health Medical Center  Fort Lauderdale Florida USA  browardhealth.org","Department of Plastic Surgery Cleveland Clinic Florida  Weston Florida USA  clevelandclinic.org"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic Surgery Broward Health Medical Center  Fort Lauderdale Florida USA  browardhealth.org","institution_ids":["https://openalex.org/I4210109487"]},{"raw_affiliation_string":"Department of Plastic Surgery Cleveland Clinic Florida  Weston Florida USA  clevelandclinic.org","institution_ids":["https://openalex.org/I4210108700"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060073944","display_name":"Mayo Hotta","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108700","display_name":"Cleveland Clinic Florida","ror":"https://ror.org/0155k7414","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750","https://openalex.org/I4210108700"]},{"id":"https://openalex.org/I4210109487","display_name":"Broward Health Medical Center","ror":"https://ror.org/01jj2sr90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210109487","https://openalex.org/I4210161735"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mayo Hotta","raw_affiliation_strings":["Department of Plastic Surgery Broward Health Medical Center  Fort Lauderdale Florida USA  browardhealth.org","Department of Plastic Surgery Cleveland Clinic Florida  Weston Florida USA  clevelandclinic.org"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic Surgery Broward Health Medical Center  Fort Lauderdale Florida USA  browardhealth.org","institution_ids":["https://openalex.org/I4210109487"]},{"raw_affiliation_string":"Department of Plastic Surgery Cleveland Clinic Florida  Weston Florida USA  clevelandclinic.org","institution_ids":["https://openalex.org/I4210108700"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010162673","display_name":"Jorge Luis Rocha","orcid":"https://orcid.org/0000-0003-3854-7688","observed_orcids":["https://orcid.org/0000-0003-3854-7688"]},"institutions":[{"id":"https://openalex.org/I4210109487","display_name":"Broward Health Medical Center","ror":"https://ror.org/01jj2sr90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210109487","https://openalex.org/I4210161735"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jorge L. Rocha","raw_affiliation_strings":["Department of Orthopedic Surgery Broward Health Medical Center  Fort Lauderdale Florida USA  browardhealth.org"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery Broward Health Medical Center  Fort Lauderdale Florida USA  browardhealth.org","institution_ids":["https://openalex.org/I4210109487"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029208584","display_name":"Martin I. Newman","orcid":"https://orcid.org/0000-0002-3810-5727","observed_orcids":["https://orcid.org/0000-0002-3810-5727"]},"institutions":[{"id":"https://openalex.org/I4210108700","display_name":"Cleveland Clinic Florida","ror":"https://ror.org/0155k7414","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750","https://openalex.org/I4210108700"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Martin I. Newman","raw_affiliation_strings":["Department of Plastic Surgery Cleveland Clinic Florida  Weston Florida USA  clevelandclinic.org"],"raw_orcid":"https://orcid.org/0000-0002-3810-5727","affiliations":[{"raw_affiliation_string":"Department of Plastic Surgery Cleveland Clinic Florida  Weston Florida USA  clevelandclinic.org","institution_ids":["https://openalex.org/I4210108700"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5160029310","display_name":"James W. Fletcher","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210109487","display_name":"Broward Health Medical Center","ror":"https://ror.org/01jj2sr90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210109487","https://openalex.org/I4210161735"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"James W. Fletcher","raw_affiliation_strings":["Department of Plastic Surgery Broward Health Medical Center  Fort Lauderdale Florida USA  browardhealth.org","Vanguard Plastic Surgery  Fort Lauderdale Florida USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic Surgery Broward Health Medical Center  Fort Lauderdale Florida USA  browardhealth.org","institution_ids":["https://openalex.org/I4210109487"]},{"raw_affiliation_string":"Vanguard Plastic Surgery  Fort Lauderdale Florida USA","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5019135104"],"corresponding_institution_ids":["https://openalex.org/I4210108700","https://openalex.org/I4210109487"],"apc_list":{"value":790,"currency":"USD","value_usd":790},"apc_paid":{"value":790,"currency":"USD","value_usd":790},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.8497395,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"2026","issue":"1","first_page":"2860926","last_page":"2860926"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.7226999998092651,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.7226999998092651,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10599","display_name":"Reconstructive Surgery and Microvascular Techniques","score":0.26170000433921814,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.007300000172108412,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vascularized-fibular-graft","display_name":"vascularized fibular graft","score":0.9760000109672546},{"id":"https://openalex.org/keywords/upper-extremity-injuries","display_name":"upper extremity injuries","score":0.9279999732971191},{"id":"https://openalex.org/keywords/open-fractures","display_name":"open fractures","score":0.7720000147819519},{"id":"https://openalex.org/keywords/bone-defect-reconstruction","display_name":"bone defect repair","score":0.7170000076293945},{"id":"https://openalex.org/keywords/early-surgical-fixation","display_name":"early surgical fixation","score":0.43299999833106995},{"id":"https://openalex.org/keywords/post-traumatic-bone-defects","display_name":"traumatic bone defects","score":0.5950000286102295}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.958299994468689},{"id":"https://openalex.org/C2779330695","wikidata":"https://www.wikidata.org/wiki/Q7049641","display_name":"Nonunion","level":2,"score":0.7892000079154968},{"id":"https://openalex.org/C106207104","wikidata":"https://www.wikidata.org/wiki/Q324926","display_name":"Fibula","level":3,"score":0.7504000067710876},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7422999739646912},{"id":"https://openalex.org/C2776206872","wikidata":"https://www.wikidata.org/wiki/Q162595","display_name":"Humerus","level":2,"score":0.4375999867916107},{"id":"https://openalex.org/C136948725","wikidata":"https://www.wikidata.org/wiki/Q1458306","display_name":"Soft tissue","level":2,"score":0.4251999855041504},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.3562999963760376},{"id":"https://openalex.org/C8337478","wikidata":"https://www.wikidata.org/wiki/Q1777289","display_name":"Bone healing","level":2,"score":0.2865000069141388},{"id":"https://openalex.org/C2993947429","wikidata":"https://www.wikidata.org/wiki/Q1064904","display_name":"Severe trauma","level":2,"score":0.28299999237060547},{"id":"https://openalex.org/C2780660378","wikidata":"https://www.wikidata.org/wiki/Q1667915","display_name":"Internal fixation","level":2,"score":0.2750000059604645},{"id":"https://openalex.org/C92162645","wikidata":"https://www.wikidata.org/wiki/Q655955","display_name":"Intramedullary rod","level":2,"score":0.26269999146461487},{"id":"https://openalex.org/C2778263588","wikidata":"https://www.wikidata.org/wiki/Q5940721","display_name":"Humerus fracture","level":3,"score":0.2614000141620636},{"id":"https://openalex.org/C2776660947","wikidata":"https://www.wikidata.org/wiki/Q841423","display_name":"Upper limb","level":2,"score":0.25850000977516174}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1155/cro/2860926","doi":"https://doi.org/10.1155/cro/2860926","is_oa":true,"landing_page_url":"https://doi.org/10.1155/cro/2860926","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/cro/2860926","source":{"id":"https://openalex.org/S2764806175","display_name":"Case Reports in Orthopedics","issn_l":"2090-6749","issn":["2090-6749","2090-6757"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","vabb-shw"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Orthopedics","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13715484","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13715484/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13715484/pdf/CRO-2026-2860926.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Rep Orthop","raw_type":"Text"},{"id":"pmid:42953319","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42953319","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case reports in orthopedics","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:7736a0a65c7147c3ab629580cc371c45","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/7736a0a65c7147c3ab629580cc371c45","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Case Reports in Orthopedics, Vol 2026 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1155/cro/2860926","doi":"https://doi.org/10.1155/cro/2860926","is_oa":true,"landing_page_url":"https://doi.org/10.1155/cro/2860926","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/cro/2860926","source":{"id":"https://openalex.org/S2764806175","display_name":"Case Reports in Orthopedics","issn_l":"2090-6749","issn":["2090-6749","2090-6757"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","vabb-shw"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Orthopedics","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9476000070571899,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224103733.pdf","grobid_xml":"https://content.openalex.org/works/W7224103733.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W1973488127","https://openalex.org/W1991227784","https://openalex.org/W2013011415","https://openalex.org/W2028672208","https://openalex.org/W2031647606","https://openalex.org/W2049062136","https://openalex.org/W2055389372","https://openalex.org/W2060869531","https://openalex.org/W2092699405","https://openalex.org/W2094658590","https://openalex.org/W2920947897","https://openalex.org/W3005755144","https://openalex.org/W3015066448","https://openalex.org/W3127079005","https://openalex.org/W4210555447","https://openalex.org/W4224302363","https://openalex.org/W4376224580","https://openalex.org/W4378903812","https://openalex.org/W4385616410"],"related_works":["https://openalex.org/W2347533375","https://openalex.org/W2001026698","https://openalex.org/W2907657604","https://openalex.org/W1987859230","https://openalex.org/W2022363122","https://openalex.org/W2533511879","https://openalex.org/W4365517396","https://openalex.org/W2572188610","https://openalex.org/W2472332931","https://openalex.org/W4398204519"],"abstract_inverted_index":{"Introduction:":[0],"We":[1],"present":[2],"two":[3],"Type":[4],"3B":[5],"open":[6],"fracture":[7],"cases":[8,77,128],"with":[9,29,94],"critical":[10,95],"bone":[11,96,110,141],"loss":[12,111],"in":[13,79,147],"the":[14,64,73,83,148],"upper":[15,91,113,139],"extremity:":[16],"a":[17,101],"9":[18],"cm":[19,24],"ulnar":[20],"defect":[21,27],"and":[22,34,50,58,118,129],"8.5":[23],"distal":[25],"humerus":[26],"treated":[28],"vascularized":[30,67,121],"fibula":[31,68,122],"graft":[32,69,123],"6":[33],"21":[35],"days":[36],"postinjury,":[37],"respectively.":[38],"Both":[39],"patients":[40],"had":[41],"complete":[42],"healing":[43],"of":[44,61,66,75,89,137],"soft":[45],"tissues,":[46],"no":[47],"known":[48],"complications,":[49],"returned":[51],"to":[52,143],"heavy":[53],"duty":[54],"labor":[55],"within":[56],"3":[57],"5":[59],"months":[60],"injury.":[62],"Although":[63],"use":[65,81],"is":[70,116,124],"well":[71],"described,":[72],"novelty":[74],"our":[76],"lies":[78],"its":[80],"as":[82,100],"initial":[84],"attempt":[85],"at":[86],"definitive":[87],"fixation":[88],"acute":[90],"extremity":[92,114,140],"trauma":[93,115],"loss,":[97],"rather":[98],"than":[99],"salvage":[102],"procedure":[103],"following":[104,112],"nonunion":[105],"or":[106],"infection.":[107],"Conclusion:":[108],"Critical":[109],"rare":[117],"challenging.":[119],"The":[120],"ideal":[125],"for":[126,133],"these":[127],"should":[130],"be":[131],"considered":[132],"acute,":[134],"single-stage":[135],"reconstruction":[136],"traumatic":[138],"defects":[142],"achieve":[144],"maximal":[145],"outcomes":[146],"shortest":[149],"time.":[150]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-29T00:00:00"}