Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Orthop. Apr 18, 2026; 17(4): 114143
Published online Apr 18, 2026. doi: 10.5312/wjo.v17.i4.114143
Published online Apr 18, 2026. doi: 10.5312/wjo.v17.i4.114143
Reconstruction of a massive tibial defect using trifocal bone transport and free flap: A case report
Jose Eduardo Miranda Cárdenas, Department of Orthopedics and Traumatology, Hospital Guillermo Almenara Irigoyen, Lima 15033, Lima, Peru
Author contributions: Miranda Cárdenas JE designed the study, performed the surgery, collected the data, and wrote the manuscript; the author has read and approved the final version of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and accompanying images.
Conflict-of-interest statement: The author declares no conflicts of interest related to this case report.
CARE Checklist (2016) statement: The author has read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Jose Eduardo Miranda Cárdenas, MD, Principal Investigator, Depart
Received: September 12, 2025
Revised: October 20, 2025
Accepted: January 13, 2026
Published online: April 18, 2026
Processing time: 210 Days and 10.3 Hours
Revised: October 20, 2025
Accepted: January 13, 2026
Published online: April 18, 2026
Processing time: 210 Days and 10.3 Hours
Core Tip
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 res