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Medial Femoral Condyle Vascularized Graft for First Ray Arthrodesis and Reconstruction: A Case Report. 股内侧髁带血管移植物行一线关节融合术重建1例。
JBJS case connector Pub Date : 2026-05-08 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00537
Mark H X Yeo, Shawn J S Seah, Marcus Wei Ping Tan, Allen Wong, Kae Sian Tay
{"title":"Medial Femoral Condyle Vascularized Graft for First Ray Arthrodesis and Reconstruction: A Case Report.","authors":"Mark H X Yeo, Shawn J S Seah, Marcus Wei Ping Tan, Allen Wong, Kae Sian Tay","doi":"10.2106/JBJS.CC.25.00537","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00537","url":null,"abstract":"<p><strong>Case: </strong>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.</p><p><strong>Conclusion: </strong>The MFC-FF can be an effective option for reconstruction of small bone defects in the foot due to osteomyelitis.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clavicular Distraction Osteoplasty With Sternoclavicular Reconstruction for a Medial Clavicle Fracture: A Case Report. 锁骨牵张成形术联合胸锁骨重建治疗内侧锁骨骨折1例。
JBJS case connector Pub Date : 2026-05-08 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00684
Alejandra A Huaco, Jessica L Xu, Jeffrey D Winter, Peter A Cole
{"title":"Clavicular Distraction Osteoplasty With Sternoclavicular Reconstruction for a Medial Clavicle Fracture: A Case Report.","authors":"Alejandra A Huaco, Jessica L Xu, Jeffrey D Winter, Peter A Cole","doi":"10.2106/JBJS.CC.25.00684","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00684","url":null,"abstract":"<p><strong>Case: </strong>An 80-year-old man with osteoporosis sustained a complex, comminuted medial clavicle (MC) fracture that failed nonoperatively. A novel reconstruction involved MC resection, midclavicle distraction osteoplasty (DO) with iliac crest bone graft, and sternoclavicular (SC) joint reconstruction using a semitendinosus tendon allograft. By 1 year, the patient achieved successful healing and functional recovery.</p><p><strong>Conclusion: </strong>Patients with excessive MC bone loss may require a clavicular lengthening to approximate the MC to the manubrium. Restoring clavicular length through a DO in conjunction with a SC joint reconstruction using a tendon allograft is a salvage maneuver which can yield a successful outcome.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Staged Surgical Management of Chronic Calcaneal Osteomyelitis with Achilles Tendon Loss: A Case Report. 慢性跟骨髓炎伴跟腱丧失的分阶段手术治疗1例。
JBJS case connector Pub Date : 2026-05-08 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00105
Andi Praja Wira Yudha Luthfi, Audie Djiady, Carmen Claude Margo, Karina Sylvana Gani, Mitchel Mitchel, Erica Kholinne
{"title":"Staged Surgical Management of Chronic Calcaneal Osteomyelitis with Achilles Tendon Loss: A Case Report.","authors":"Andi Praja Wira Yudha Luthfi, Audie Djiady, Carmen Claude Margo, Karina Sylvana Gani, Mitchel Mitchel, Erica Kholinne","doi":"10.2106/JBJS.CC.26.00105","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00105","url":null,"abstract":"<p><strong>Case: </strong>Chronic calcaneal osteomyelitis involving the Achilles tendon is rare. A 50-year-old man presented with a nonhealing posterior heel wound and persistent discharge after multiple surgeries, resulting in complete tendon loss. Imaging confirmed osteomyelitis. He underwent staged management with radical debridement and antibiotic-impregnated polymethylmethacrylate beads, followed by removal. No further reconstruction of the Achilles tendon was performed, yet the patient had restored plantarflexion and functional gait.</p><p><strong>Conclusion: </strong>Aggressive debridement and staged local antibiotics are essential. Functional ambulation can be preserved despite Achilles tendon loss, supporting limb salvage as the primary goal.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bilateral Bipartite Lunate Treated With Proximal Row Carpectomy: A Case Report and Review of the Literature. 近行肩胛骨切除术治疗双侧月骨二部：1例报告及文献复习。
JBJS case connector Pub Date : 2026-05-08 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00073
Kareme D Alder, Alexander Y Shin
{"title":"Bilateral Bipartite Lunate Treated With Proximal Row Carpectomy: A Case Report and Review of the Literature.","authors":"Kareme D Alder, Alexander Y Shin","doi":"10.2106/JBJS.CC.26.00073","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00073","url":null,"abstract":"<p><strong>Case: </strong>A right-hand dominant, 38-year-old man presented to clinic with atraumatic left wrist pain of 1 year duration in the setting of bilateral bipartite lunate. Both wrists ultimately became symptomatic and were treated with proximal row carpectomy. The patient had durable pain relief in both wrists after proximal row carpectomy.</p><p><strong>Conclusion: </strong>Bipartite lunate is a rare developmental anomaly that is usually asymptomatic. Operative intervention directed at treating involved osteoarthritic joints is warranted in the rare symptomatic patient. Clinicians should be aware of the pathology given its high rate of misdiagnosis.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Limb Salvage of a Massive Distal Radius and Ulna Osteoarticular Defect Using Acute Bone Shortening. 急性骨缩短术修复大面积桡骨远端及尺骨骨关节缺损。
JBJS case connector Pub Date : 2026-05-08 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00090
Tatsuhiko Muraoka, Yoshinori Ueno, Takashi Asami
{"title":"Limb Salvage of a Massive Distal Radius and Ulna Osteoarticular Defect Using Acute Bone Shortening.","authors":"Tatsuhiko Muraoka, Yoshinori Ueno, Takashi Asami","doi":"10.2106/JBJS.CC.26.00090","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00090","url":null,"abstract":"<p><strong>Case: </strong>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 infection requiring implant removal and local antibiotics, solid union was achieved with preserved forearm rotation at 2 years.</p><p><strong>Conclusion: </strong>Acute bone shortening facilitates simultaneous tendon reconstruction and defect reduction, expanding limb-salvage options in complex distal forearm osteoarticular injuries.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Central Fracture Dislocation of Hip With Ipsilateral Femoral Neck Fracture: A Case Report. 髋中央骨折脱位伴同侧股骨颈骨折1例。
JBJS case connector Pub Date : 2026-05-01 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00615
Vikas Bachhal, Utkarsh Kumar Reddy Gopavaram, Arjit Bansal, Himanshu Bayana, Ansh Gupta, Sai Surya Dinesh Pydi
{"title":"Central Fracture Dislocation of Hip With Ipsilateral Femoral Neck Fracture: A Case Report.","authors":"Vikas Bachhal, Utkarsh Kumar Reddy Gopavaram, Arjit Bansal, Himanshu Bayana, Ansh Gupta, Sai Surya Dinesh Pydi","doi":"10.2106/JBJS.CC.25.00615","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00615","url":null,"abstract":"<p><p>Central fracture dislocation of the hip with associated ipsilateral femoral neck fracture is exceedingly rare and presents a formidable management challenge.</p><p><strong>Case: </strong>A 31-year-old woman sustained this fracture with medial displacement of the femoral head into the pelvic cavity after a high-energy road traffic accident. Within 6 hours, surgical reduction of the femoral head and internal fixation of both femoral neck and acetabulum were performed using a dynamic hip screw and a plate, respectively. At 1 year, the patient demonstrated good functional recovery without avascular necrosis.</p><p><strong>Conclusion: </strong>This case highlights the importance of early fixation in preserving femoral head viability in combined acetabular and femoral neck injuries.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Anterior Transdiaphragmatic Approach for En Bloc Resection of a Giant Thoracolumbar Chordoma: A Case Report. 前路经膈入路整块切除巨大胸腰椎脊索瘤1例。
JBJS case connector Pub Date : 2026-05-01 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00014
Yanchao Tang, Shouzhan Wang, Changming Wang, Lei Li, Shaomin Yang, Feng Wei
{"title":"An Anterior Transdiaphragmatic Approach for En Bloc Resection of a Giant Thoracolumbar Chordoma: A Case Report.","authors":"Yanchao Tang, Shouzhan Wang, Changming Wang, Lei Li, Shaomin Yang, Feng Wei","doi":"10.2106/JBJS.CC.26.00014","DOIUrl":"10.2106/JBJS.CC.26.00014","url":null,"abstract":"<p><strong>Case: </strong>A 54-year-old man presented with a giant T10-L2 chordoma. The tumor encased the thoracoabdominal aorta, presenting a significant challenge for en bloc resection. We used a novel anterior transperitoneal and transdiaphragmatic approach. By longitudinally incising the diaphragm along the aortic hiatus, we obtained direct visualization to safely dissect the aorta from the tumor in both thoracic and abdominal cavities. This facilitated a successful 2-stage en bloc spondylectomy and reconstruction with a three-dimensional-printed vertebral body. At 24 months, the patient was neurologically intact with no recurrence.</p><p><strong>Conclusion: </strong>This approach offers a safe strategy for large thoracolumbar tumors involving critical vasculature.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Concomitant Tibiofemoral and Posterior Patellofemoral Joint Dislocation: A Case Report. 伴发胫股及髌股后关节脱位1例。
JBJS case connector Pub Date : 2026-05-01 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00704
Anderson Lee, Brandon Ponce, William Bohne, Arjun Minhas, Charlotte Orr, Matthew Lawless
{"title":"Concomitant Tibiofemoral and Posterior Patellofemoral Joint Dislocation: A Case Report.","authors":"Anderson Lee, Brandon Ponce, William Bohne, Arjun Minhas, Charlotte Orr, Matthew Lawless","doi":"10.2106/JBJS.CC.25.00704","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00704","url":null,"abstract":"<p><strong>Case: </strong>This case report aims to highlight a rare injury of a combined right tibiofemoral and patellofemoral joint dislocation. The patient was found to have a partial quadriceps tendon rupture, lateral and medial-sided soft-tissue injuries, and avulsion of the anterior and posterior cruciate ligaments. Treatment involved lateral and medial-sided repairs, as well as repair of his partial quadriceps tendon tear, allowing eventual return to daily activities following extensive rehabilitation.</p><p><strong>Conclusion: </strong>Successful surgical repair and rehabilitation of a combined tibiofemoral and patellofemoral dislocation can restore stability and enable return to normal daily activities.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Calcaneal Rhinosporidiosis, a Rare Manifestation of Osteomyelitis. 跟骨鼻孢子虫病，骨髓炎的一种罕见表现。
JBJS case connector Pub Date : 2026-05-01 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00016
Abdul Gafoor, Moidu Shameer Kp, Khayas Omer Kunheen, Ram Sudhan Subramaniyan
{"title":"Calcaneal Rhinosporidiosis, a Rare Manifestation of Osteomyelitis.","authors":"Abdul Gafoor, Moidu Shameer Kp, Khayas Omer Kunheen, Ram Sudhan Subramaniyan","doi":"10.2106/JBJS.CC.26.00016","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00016","url":null,"abstract":"<p><strong>Case report: </strong>A 63-year-old man presented with progressive left heel pain limiting weight bearing over 5 years with a history of probable nasal rhinosporidiosis (45 years ago). Examination showed calcaneal tenderness, and MR imaging revealed a posteroinferior calcaneal lytic lesion suggestive of osteomyelitis. Cultures were negative, but histopathology confirmed Rhinosporidium seeberi. Surgical debridement, local amphotericin B, and prolonged dapsone achieved excellent outcomes without recurrence at 18 months.</p><p><strong>Conclusion: </strong>High suspicion and isolation of the organism are crucial for the treatment and successful outcome of Rhinosporidial osteomyelitis.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lateral Meniscal Repair After Medial Unicompartmental Knee Arthroplasty: A Case Report. 内侧单室膝关节置换术后外侧半月板修复一例报告。
JBJS case connector Pub Date : 2026-05-01 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00056
Tomohiro Tomihara, Yusuke Hashimoto, Junsei Takigami, Akira Yoneda, Hiroshi Katsuda
{"title":"Lateral Meniscal Repair After Medial Unicompartmental Knee Arthroplasty: A Case Report.","authors":"Tomohiro Tomihara, Yusuke Hashimoto, Junsei Takigami, Akira Yoneda, Hiroshi Katsuda","doi":"10.2106/JBJS.CC.26.00056","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00056","url":null,"abstract":"<p><strong>Case: </strong>A 54-year-old woman had recurrent knee locking symptoms 2 years after undergoing left, medial unicompartmental knee arthroplasty (UKA). At the meniscal repair surgery following UKA, there was anterior translation of the lateral meniscus with anterior and posterior popliteomeniscal fascicle tears. Although the primary lateral meniscal repair using the all-inside technique failed, the patient's symptoms were resolved after the revision meniscal repair using the inside-out technique.</p><p><strong>Conclusion: </strong>For the symptoms of lateral meniscal tear after UKA, meniscal repair should be considered to reduce lateral compartment osteoarthritis progression.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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