Publication Name	World Journal of Orthopedics
Manuscript ID	128469
Country	China

Category	Orthopedics
Manuscript Type	Case Report
Article Title	Deep-frozen adult fibular allograft reconstruction for post-infectious segmental tibial bone defect in a child: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Qi Lu, Ya-Sheng Chai, Fei Zhu and Hua-Yun Deng
Funding Agency and Grant Number
Corresponding Author	Ya-Sheng Chai, Chief Physician, Department of Orthopedics, Guangdong Sanjiu Brain Hospital, No. 578 Shatai South Road, Baiyun District, Guangzhou 510510, Guangdong, China. cai720118@163.com
Key Words	Deep-frozen bone allograft; Tibial bone defect; Bone infection; Gustilo-Anderson type IIIB; Creeping substitution; Case report
Core Tip	Large post-infectious segmental bone defects in children are difficult to reconstruct. We report a 9-year-old girl with a 6.3-cm infected tibial defect after an open fracture and failed particulate grafting. After debridement and infection control, the defect was reconstructed using a deep-frozen adult fibular allograft shaped to interlock with the host bone and fixed with a bridging plate. At 5.5-year follow-up, the graft was fully incorporated, and the patient walked normally without recurrence. Deep-frozen fibular allograft is a promising bone substitute for large segmental defects in children.
Citation	Lu Q, Chai YS, Zhu F, Deng HY. Deep-frozen adult fibular allograft reconstruction for post-infectious segmental tibial bone defect in a child: A case report. World J Orthop 2026; In press

Received	2026-09-22 08:29
Peer-Review Started	2026-09-22 08:31
First Decision by Editorial Office Director
Return for Revision	2026-10-08 06:50
Revised	2026-10-17 17:43
Publication Fee Transferred	2026-10-28 14:29
Second Decision by Editor	2026-11-10 02:52
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-11-10 10:32
Articles in Press	2026-11-10 10:32
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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