{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T16:27:05Z","timestamp":1792513625192,"version":"4.5.0"},"reference-count":19,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journal-cot.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Orthopaedics and Trauma"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.jcot.2026.103424","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T15:06:56Z","timestamp":1774883216000},"page":"103424","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Laboratory-defined nutritional-risk marker positivity is associated with higher sepsis, wound complications, and osteomyelitis after operative humeral shaft fractures"],"prefix":"10.1016","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8990-7556","authenticated-orcid":false,"given":"Jawad","family":"Saad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7552-8958","authenticated-orcid":false,"given":"Magd","family":"Boutany","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7289-745X","authenticated-orcid":false,"given":"David","family":"Abdelnour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0817-3798","authenticated-orcid":false,"given":"Alqasim","family":"Elnaggar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Mehaidli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Vaidya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"8","key":"10.1016\/j.jcot.2026.103424_bib1","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","article-title":"Epidemiology of adult fractures: a review","volume":"37","author":"Court-Brown","year":"2006","journal-title":"Injury"},{"issue":"4","key":"10.1016\/j.jcot.2026.103424_bib2","doi-asserted-by":"crossref","first-page":"e87","DOI":"10.1016\/j.jse.2017.10.028","article-title":"Humeral shaft fractures","volume":"27","author":"Updegrove","year":"2018","journal-title":"J Shoulder Elb Surg"},{"issue":"5","key":"10.1016\/j.jcot.2026.103424_bib3","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1007\/s12178-024-09890-2","article-title":"Disparities exist in the experience of financial burden among orthopedic trauma patients: a systematic review","volume":"17","author":"DeMartini","year":"2024","journal-title":"Curr Rev Musculoskelet Med"},{"issue":"3","key":"10.1016\/j.jcot.2026.103424_bib4","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1016\/j.injury.2017.01.036","article-title":"Malnutrition \u2013 an underestimated factor in the inpatient treatment of traumatology and orthopedic patients: a prospective evaluation of 1055 patients","volume":"48","author":"Ihle","year":"2017","journal-title":"Injury"},{"issue":"3","key":"10.1016\/j.jcot.2026.103424_bib5","doi-asserted-by":"crossref","first-page":"193","DOI":"10.5435\/JAAOS-22-03-193","article-title":"Evaluation of malnutrition in orthopaedic surgery","volume":"22","author":"Cross","year":"2014","journal-title":"J Am Acad Orthop Surg"},{"issue":"2","key":"10.1016\/j.jcot.2026.103424_bib6","first-page":"131","article-title":"Assessment of protein energy malnutrition in older persons, part II: laboratory evaluation","volume":"16","author":"Omran","year":"2000","journal-title":"Nutr Burbank Los Angel Cty Calif"},{"issue":"5","key":"10.1016\/j.jcot.2026.103424_bib7","doi-asserted-by":"crossref","first-page":"1889","DOI":"10.1007\/s00394-024-03392-0","article-title":"Neutrophil-to-lymphocyte ratio and lymphocyte count as an alternative to body mass index for screening malnutrition in older adults living in the community","volume":"63","author":"Borda","year":"2024","journal-title":"Eur J Nutr"},{"issue":"4","key":"10.1016\/j.jcot.2026.103424_bib8","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/S0883-5403(06)80183-X","article-title":"Preoperative nutritional status of total joint patients. Relationship to postoperative wound complications","volume":"6","author":"Greene","year":"1991","journal-title":"J Arthroplast"},{"issue":"11","key":"10.1016\/j.jcot.2026.103424_bib9","doi-asserted-by":"crossref","first-page":"2594","DOI":"10.1016\/j.arth.2019.05.060","article-title":"The role of malnutrition in ninety-day outcomes after total joint arthroplasty","volume":"34","author":"Black","year":"2019","journal-title":"J Arthroplast"},{"issue":"1","key":"10.1016\/j.jcot.2026.103424_bib10","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.arth.2020.07.055","article-title":"Low body mass index is a predictor for mortality and increased length of stay following total joint arthroplasty","volume":"36","author":"Katakam","year":"2021","journal-title":"J Arthroplast"},{"issue":"12","key":"10.1016\/j.jcot.2026.103424_bib11","doi-asserted-by":"crossref","first-page":"e1151","DOI":"10.1016\/j.jse.2025.03.005","article-title":"Preoperative malnutrition is associated with increased risk of 90-day major medical complications and increased 2-year revision rates following total shoulder arthroplasty","volume":"34","author":"Lawand","year":"2025","journal-title":"J Shoulder Elb Surg"},{"issue":"4","key":"10.1016\/j.jcot.2026.103424_bib12","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1016\/j.surg.2024.06.047","article-title":"The implications of poor nutritional status on outcomes of geriatric trauma patients","volume":"176","author":"Hosseinpour","year":"2024","journal-title":"Surgery"},{"issue":"0","key":"10.1016\/j.jcot.2026.103424_bib13","article-title":"Preoperative malnutrition is associated with increased infectious, vascular, and wound complications after distal femur fracture fixation","volume":"0","author":"Wajahath","year":"2026","journal-title":"Injury"},{"issue":"1","key":"10.1016\/j.jcot.2026.103424_bib14","doi-asserted-by":"crossref","DOI":"10.1186\/s13018-020-01809-0","article-title":"Incidence of deep venous thrombosis (DVT) of the lower extremity in patients undergoing surgeries for ankle fractures","volume":"15","author":"Zixuan","year":"2020","journal-title":"J Orthop Surg"},{"issue":"12","key":"10.1016\/j.jcot.2026.103424_bib15","doi-asserted-by":"crossref","DOI":"10.1016\/j.injury.2024.111859","article-title":"Incidence of deep vein thrombosis and pulmonary embolism in closed foot and ankle fractures treated with conservative versus surgical management: a nationwide analysis","volume":"55","author":"Kohli","year":"2024","journal-title":"Injury"},{"issue":"1","key":"10.1016\/j.jcot.2026.103424_bib16","first-page":"120","article-title":"Relationship between opioid treatment and rate of healing in chronic wounds","volume":"25","author":"Shanmugam","year":"2017","journal-title":"Wound Repair Regen Off Publ Wound Heal Soc Eur Tissue Repair Soc"},{"issue":"7","key":"10.1016\/j.jcot.2026.103424_bib17","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.1016\/j.injury.2018.05.004","article-title":"Opioid exposure is associated with nonunion risk in a traumatically injured population: an inception cohort study","volume":"49","author":"Buchheit","year":"2018","journal-title":"Injury"},{"issue":"14","key":"10.1016\/j.jcot.2026.103424_bib18","doi-asserted-by":"crossref","first-page":"1230","DOI":"10.2106\/JBJS.19.01415","article-title":"Risk of nonunion with nonselective NSAIDs, COX-2 inhibitors, and opioids","volume":"102","author":"George","year":"2020","journal-title":"J Bone Joint Surg Am"},{"issue":"4","key":"10.1016\/j.jcot.2026.103424_bib19","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.ocl.2017.06.002","article-title":"The effect of opioids, alcohol, and nonsteroidal anti-inflammatory drugs on fracture union","volume":"48","author":"Richards","year":"2017","journal-title":"Orthop Clin N Am"}],"container-title":["Journal of Clinical Orthopaedics and Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0976566226000913?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0976566226000913?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T18:40:31Z","timestamp":1780339231000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0976566226000913"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":19,"alternative-id":["S0976566226000913"],"URL":"https:\/\/doi.org\/10.1016\/j.jcot.2026.103424","relation":{},"ISSN":["0976-5662"],"issn-type":[{"value":"0976-5662","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Laboratory-defined nutritional-risk marker positivity is associated with higher sepsis, wound complications, and osteomyelitis after operative humeral shaft fractures","name":"articletitle","label":"Article Title"},{"value":"Journal of Clinical Orthopaedics and Trauma","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jcot.2026.103424","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Delhi Orthopedic Association. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"103424"}}