“…Treatment of complex fractures and other bone defects caused by high-energy trauma, disease, developmental deformity, revision surgery, and tumor resection have been improved due to advances in surgical techniques, orthopaedic implants, and perioperative management [12,16,25,27,38,52]. However, detrimental bone healing conditions (eg, comorbidities such as diabetes mellitus, infections, improper vascular supply, etc), suboptimal surgical techniques, or biomechanical instability can result in impaired healing capacity (eg, nonunions, large remaining bone gaps) [39].…”