{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T11:00:58Z","timestamp":1773054058715,"version":"3.50.1"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T00:00:00Z","timestamp":1655337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Pathologic fractures of the tibial tuberosity secondary to giant cell tumor of bone are rare injuries. While there are several well-described methods in the literature to reattach the tibial tuberosity, these techniques rely on good quality bone. However, in the presence of diseased and weak bone, additional factors have to be considered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 47-year-old man with a Giant Cell Tumor of bone affecting the proximal tibia presented with a displaced avulsion fracture of the tibial tuberosity. The patient underwent surgical curettage, bone grafting and osteosynthesis with reattachment of the tibial tuberosity. Eighteen months after surgery there is no evidence of tumor recurrence, and despite mild knee pain and a limited range of movement, the patient has returned to work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>The extensor mechanism was repaired by first reinforcing the tuberosity fragment with an autograft before reattaching it using a tension band FibreWire \u00ae suture. Without access to a tumor endoprosthesis we used a joint sparing approach to treat the Giant Cell Tumor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients with dual-pathology present technical challenges in repairing the extensor mechanism and treating the underlying condition. Surgeons must address competing priorities in a holistic, patient-centred approach consistent with their working environment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107326","type":"journal-article","created":{"date-parts":[[2022,6,20]],"date-time":"2022-06-20T12:44:13Z","timestamp":1655729053000},"page":"107326","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Extensor mechanism reconstruction and joint preservation surgery following a tibial tuberosity fracture in giant cell tumor of bone"],"prefix":"10.1097","volume":"96","author":[{"given":"Marlon M.","family":"Mencia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reena","family":"Moonsie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-50-20260309","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1007\/s00167-003-0342-2","article-title":"Simultaneous bilateral tibial tubercle avulsion fracture in a basketball player","volume":"11","author":"Erg\u00fcn","year":"2003","journal-title":"Knee Surg.Sports Traumatol.Arthrosc"},{"key":"R2-50-20260309","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ijscr.2020.04.029","article-title":"Tension band suture in isolated tibial tubercle avulsion: a case report and review literatures","volume":"71","author":"Parinyakhup","year":"2020","journal-title":"Int. J. Surg. Case Rep"},{"key":"R3-50-20260309","doi-asserted-by":"crossref","first-page":"1346","DOI":"10.1007\/s00167-007-0338-4","article-title":"The use of frame fixation in the management of open distal extensor mechanism avulsion fracture in a dislocated knee","volume":"15","author":"Yamaoka","year":"2007","journal-title":"Knee Surg.Sports Traumatol.Arthrosc"},{"key":"R5-50-20260309","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1055\/s-0030-1268689","article-title":"Giant cell tumor with involvement of the patellar ligament","volume":"23","author":"Cipriano","year":"2010","journal-title":"J.Knee Surg"},{"key":"R6-50-20260309","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. 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Surg"},{"key":"R12-50-20260309","doi-asserted-by":"crossref","first-page":"9357","DOI":"10.1186\/1757-1626-2-9357","article-title":"Stress avulsion of the tibial tuberosity after tension band wiring of a patellar fracture: a case report","volume":"2","author":"Hirschmann","year":"2009","journal-title":"Cases J"},{"key":"R15-50-20260309","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1007\/s11999-016-4755-x","article-title":"Supplemental bone grafting in giant cell tumor of the extremity reduces nononcologic complications","volume":"475","author":"Benevenia","year":"2017","journal-title":"Clin. Orthop. Relat. Res"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222005727?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222005727?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107326","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T09:02:45Z","timestamp":1773046965000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107326"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":10,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.107326","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}