Publication Name	World Journal of Orthopedics
Manuscript ID	114143
Country	Peru

Category	Orthopedics
Manuscript Type	Case Report
Article Title	Reconstruction of a massive tibial defect using trifocal bone transport and free flap: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Jose Eduardo Miranda Cárdenas
Funding Agency and Grant Number
Corresponding Author	Jose Eduardo Miranda Cárdenas, MD, Principal Investigator, Department of Ortopediay Traumatologia, Hospital Guillermo Almenara Irigoyen, av grau 800 la victoria, Lima 15033, Lima, Peru. josemiranda2909@gmail.com
Key Words	Critical bone defect; Bone transport; Ilizarov technique; Free flap; Open fracture; Case report
Core Tip	This case highlighted the successful treatment of a 13 cm tibial defect complicated by infections with trifocal bone transport combined with free flap coverage. The combined strategy allowed both soft-tissue coverage and skeletal restoration, and the patient avoided amputation. The management of this case emphasized the importance of multidisciplinary collaboration and sequential fixation to achieve excellent functional outcomes.
Citation	Miranda Cárdenas JE. Reconstruction of a massive tibial defect using trifocal bone transport and free flap: A case report. World J Orthop 2026; In press

Received	2025-09-12 10:23
Peer-Review Started	2025-09-12 10:23
First Decision by Editorial Office Director	2025-10-13 08:56
Return for Revision	2025-10-13 08:56
Revised	2025-10-20 23:18
Publication Fee Transferred	2025-10-22 17:35
Second Decision by Editor	2026-01-13 02:36
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-13 08:49
Articles in Press	2026-01-13 08:49
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright	The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
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