{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T20:49:22Z","timestamp":1784580562274,"version":"3.55.0"},"reference-count":22,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2017,2,1]],"date-time":"2017-02-01T00:00:00Z","timestamp":1485907200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","injuryjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Injury"],"published-print":{"date-parts":[[2017,2]]},"DOI":"10.1016\/j.injury.2016.12.017","type":"journal-article","created":{"date-parts":[[2016,12,28]],"date-time":"2016-12-28T13:31:09Z","timestamp":1482931869000},"page":"353-356","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Open lower limb fractures in Major Trauma Centers \u2013 A loss leader?"],"prefix":"10.1016","volume":"48","author":[{"given":"Elizabeth K.","family":"Tissingh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arman","family":"Memarzadeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Queally","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Hull","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.injury.2016.12.017_bib0005","article-title":"Spending on health and social care over the next 50 years: why think long term?","author":"Appleby","year":"2013","journal-title":"The Kings' Fund"},{"key":"10.1016\/j.injury.2016.12.017_bib0010","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1302\/0301-620X.91B8.22715","article-title":"British Orthopaedic Association standards for trauma","volume":"91.8","author":"Willett","year":"2009","journal-title":"Bone Joint J"},{"key":"10.1016\/j.injury.2016.12.017_bib0015","unstructured":"NICE NIfHaCE. Fractures (complex): assessment and management. NICE. 2016 February 2016."},{"key":"10.1016\/j.injury.2016.12.017_bib0020","article-title":"Focus on: tibial fractures","author":"Cowie","year":"2012","journal-title":"J Bone Joint Surg Am"},{"issue":"3 (Mar)","key":"10.1016\/j.injury.2016.12.017_bib0025","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1302\/0301-620X.88B3.16465","article-title":"A review of the management of open fractures of the tibia and femur","volume":"88","author":"Giannoudis","year":"2006","journal-title":"J Bone Joint Surg Br [Review]"},{"key":"10.1016\/j.injury.2016.12.017_bib0030","doi-asserted-by":"crossref","first-page":"571","DOI":"10.2174\/1874325001206010571","article-title":"Update on the management of open lower limb fractures","volume":"6","author":"Griffin","year":"2012","journal-title":"Open Orthop J"},{"issue":"4 (Apr)","key":"10.1016\/j.injury.2016.12.017_bib0035","first-page":"RA49","article-title":"Treatment of Gustilo grade III tibial fractures with unreamed intramedullary nailing versus external fixator: a meta-analysis","volume":"18","author":"Fang","year":"2012","journal-title":"Med Sci Monit [Comparative Study Meta-Analysis Review]"},{"issue":"12 (Dec)","key":"10.1016\/j.injury.2016.12.017_bib0040","first-page":"2123","article-title":"Recombinant human bone morphogenetic protein-2 for treatment of open tibial fractures: a prospective, controlled, randomized study of four hundred and fifty patients","volume":"84-A","author":"Govender","year":"2002","journal-title":"J Bone Joint Surg Am [Clinical Trial Multicenter Study Randomized Controlled Trial Research Support, Non-U. S. Gov't]"},{"issue":"12 (Dec)","key":"10.1016\/j.injury.2016.12.017_bib0045","first-page":"1269","article-title":"A health economic analysis of the use of rhBMP-2 in Gustilo-Anderson grade III open tibial fractures for the UK, Germany, and France","volume":"40","author":"Alt","year":"2009","journal-title":"Injury [Comparative Study. Multicenter Study Randomized Controlled Trial]"},{"issue":"4 (Apr)","key":"10.1016\/j.injury.2016.12.017_bib0050","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/j.injury.2010.10.006","article-title":"Costs and coding-free-flap reconstruction in lower-limb trauma","volume":"42","author":"Townley","year":"2011","journal-title":"Injury"},{"issue":"1 (Jan)","key":"10.1016\/j.injury.2016.12.017_bib0055","first-page":"34","article-title":"Financial ramifications of inaccurate clinical coding in two common orthopaedic procedures","volume":"98","author":"Parry","year":"2016","journal-title":"Bull R Coll Surg Engl"},{"key":"10.1016\/j.injury.2016.12.017_bib0060","unstructured":"ISD Scotand Statistics, http:\/\/www.isdscotland.org\/Health-Topics\/Finance\/Publications\/2011-11-29\/2011-11-29-Costs-Report.pdf."},{"key":"10.1016\/j.injury.2016.12.017_bib0065","first-page":"g4807","article-title":"Percutaneous fixation with Kirschner wires versus volar locking plate fixation in adults with dorsally displaced fracture of distal radius: randomised controlled trial","volume":"349","author":"Costa","year":"2014","journal-title":"BMJ [Comarative Study Multicenter Study Randomized Controlled Trial Research Support, Non-U.S. Gov't]"},{"issue":"8 (Aug)","key":"10.1016\/j.injury.2016.12.017_bib0070","doi-asserted-by":"crossref","first-page":"1032","DOI":"10.1302\/0301-620X.94B8.28717","article-title":"Cost savings of using a cemented total hip replacement: an analysis of the National Joint Registry data","volume":"94","author":"Griffiths","year":"2012","journal-title":"J Bone Joint Surg Br [Comparative Study Evaluation Studies]."},{"issue":"6 (Jun)","key":"10.1016\/j.injury.2016.12.017_bib0075","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1258\/jrsm.2008.080130","article-title":"Measuring and enhancing elective service performance in NHS operating theatres: an overview","volume":"101","author":"Mayer","year":"2008","journal-title":"J R Soc Med"},{"key":"10.1016\/j.injury.2016.12.017_bib0080","unstructured":"Unit PSSR, Unit Costs of Health & Social Care 2015. 2015."},{"issue":"3 (Mar)","key":"10.1016\/j.injury.2016.12.017_bib0085","first-page":"379","article-title":"Delayed debridement of severe open fractures is associated with a higher rate of deep infection","volume":"96-B","author":"Hull","year":"2014","journal-title":"Bone Joint J [Research Support, Non-U. S. Gov't]"},{"key":"10.1016\/j.injury.2016.12.017_bib0090","article-title":"Financial ramifications of inaccurate clinical coding in two common orthopaedic procedures","author":"Tucker","year":"2015","journal-title":"Bull R Coll Surg Engl"},{"key":"10.1016\/j.injury.2016.12.017_bib0095","unstructured":"Codes H. HRG Codes. 2015. http:\/\/content.digital.nhs.uk\/casemix\/general."},{"key":"10.1016\/j.injury.2016.12.017_bib0100","unstructured":"England N, Monitor. 2014\/15 National Tariff Payment System. 2015. www.monitor.gov.uk\/nt."},{"issue":"4 (Jan 26)","key":"10.1016\/j.injury.2016.12.017_bib0105","first-page":"366","article-title":"A national evaluation of the effect of trauma-center care on mortality","volume":"354","author":"MacKenzie","year":"2006","journal-title":"N Engl J Med. [Comparative Study Research Support, N. I. H., Extramural. Research Support, U. S. Gov't, P. H. S.]"},{"key":"10.1016\/j.injury.2016.12.017_bib0110","unstructured":"NHS, England. National Peer Review Report: Major Trauma 2015. 2015."}],"container-title":["Injury"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0020138316308233?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0020138316308233?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T09:22:17Z","timestamp":1536139337000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0020138316308233"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["S0020138316308233"],"URL":"https:\/\/doi.org\/10.1016\/j.injury.2016.12.017","relation":{},"ISSN":["0020-1383"],"issn-type":[{"value":"0020-1383","type":"print"}],"subject":[],"published":{"date-parts":[[2017,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Open lower limb fractures in Major Trauma Centers \u2013 A loss leader?","name":"articletitle","label":"Article Title"},{"value":"Injury","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.injury.2016.12.017","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}