Evidence map›Paper›PMID 41818398›Full record

ArticleJBJS case connector2026

Masquelet Technique for Salvage of Failed Vascularized Fibular Graft Nonunion After Humeral Tumor Resection: A Case Report.

Behdad Ravarian, Norah-Faye Matthies, Sam Keshen, Jessica Guo, Jonathan Persitz, Ryan A Paul

Abstract readCase Reports
In one paragraph

Article in JBJS case connector, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Behdad RavarianHand 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.ORCID 0000-0001-6779-6507
Norah-Faye MatthiesDivision of Orthopaedic Surgery, Department of Surgery, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-5390-8977
Sam KeshenDivision of Orthopaedic Surgery, Department of Surgery, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-8266-1675
Jessica GuoDivision of Orthopaedic Surgery, Department of Surgery, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-3461-3641
Jonathan PersitzHand 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.ORCID 0000-0001-7886-8369
Ryan A PaulHand 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.ORCID 0000-0002-0460-2901

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

caseDiaphyseal 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.

conclusionThis case highlights the potential of the Masquelet technique in reconstruction of refractory nonunions despite previous failed reconstructive attempts.

Indexed as

Bone NeoplasmsBone TransplantationFibulaFractures, UnunitedGiant Cell Tumor of BoneHumeral FracturesHumerusSalvage TherapyAdultFemaleHumanshumerusMasquelet techniquenonunionvascularized fibular graft

Identifiers

PMID41818398
PMCPMC12978728

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.