{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T10:29:13Z","timestamp":1782901753911,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T00:00:00Z","timestamp":1745452800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T00:00:00Z","timestamp":1745452800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T00:00:00Z","timestamp":1745452800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T00:00:00Z","timestamp":1745452800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T00:00:00Z","timestamp":1743033600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopytechniques.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Chronic osteomyelitis occurs if the bone infection persists for more than 6 weeks. The presence of dead bone (sequestrum) and intramedullary abscess with chronic infected tissue may protect bacteria from the endogenous host immune response and limit the effectiveness of many antibiotics. Classically, removal of infected tissue inside the medullary cavity requires extensive osteotomy to create a bone window of adequate size. Bone endoscopy (medulloscopy) provides a minimally invasive approach to the medullary cavity of long bones. The purpose of this Technical Note is to describe the details of uniportal endoscopic intramedullary debridement for management of tibial osteomyelitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique Video<\/jats:title>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"video\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" position=\"anchor\" xlink:href=\"urn:x-wiley:22126287:media:atn2bf04103:atn2bf04103-vimg-0001\">\n                          <jats:alt-text>video<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>See video under supplementary data.<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.eats.2025.103556","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T23:55:40Z","timestamp":1745452540000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Biportal Endoscopic Intramedullary Debridement for Management of Tibial Osteomyelitis"],"prefix":"10.1002","volume":"14","author":[{"given":"Tun Hing","family":"Lui","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology North District Hospital Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ka Kin","family":"Cheung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology North District Hospital Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sze Ying","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Tuen Mun Hospital Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,24]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.6.200136"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000283"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-226297"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-002-0450-3"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.19651"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-007-0289-8"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.02.003"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01114"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.55095\/achot2019\/022"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.26920"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-020-02813-0"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.01.009"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199509000-00005"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina57020163"},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.05.021"},{"key":"e_1_2_3_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2022.08.026"},{"key":"e_1_2_3_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2021.04.026"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.08.029"},{"key":"e_1_2_3_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.07.016"},{"key":"e_1_2_3_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2014.06.002"},{"key":"e_1_2_3_22_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2013.03.034"},{"key":"e_1_2_3_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.02.029"},{"key":"e_1_2_3_24_1","first-page":"631","article-title":"Endoscopically assisted core decompression in avascular necrosis of the femoral head","volume":"75","author":"Govaers K.","year":"2009","journal-title":"Acta Orthop Belg"},{"key":"e_1_2_3_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s43465-020-00126-2"},{"key":"e_1_2_3_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-004-0869-9"},{"key":"e_1_2_3_27_1","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0550"},{"key":"e_1_2_3_28_1","first-page":"103","article-title":"The effect of intramedullary bone endoscopy on the endosteal blood supply in long bones. An experimental study in sheep","volume":"77","author":"Herget G.W.","year":"2011","journal-title":"Acta Orthop Belg"},{"key":"e_1_2_3_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.20841"},{"key":"e_1_2_3_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.03.013"}],"container-title":["Arthroscopy Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212628725001252?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212628725001252?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.eats.2025.103556","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.eats.2025.103556","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.eats.2025.103556","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T11:15:31Z","timestamp":1775733331000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.eats.2025.103556"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,24]]},"references-count":29,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1016\/j.eats.2025.103556"],"URL":"https:\/\/doi.org\/10.1016\/j.eats.2025.103556","archive":["Portico"],"relation":{},"ISSN":["2212-6287","2212-6287"],"issn-type":[{"value":"2212-6287","type":"print"},{"value":"2212-6287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,24]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Biportal Endoscopic Intramedullary Debridement for Management of Tibial Osteomyelitis","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy Techniques","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.eats.2025.103556","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}],"article-number":"103556"}}