{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T04:12:35Z","timestamp":1782187955327,"version":"3.54.5"},"reference-count":41,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T00:00:00Z","timestamp":1631577600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["jprasopen.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JPRAS Open"],"published-print":{"date-parts":[[2022,3]]},"DOI":"10.1016\/j.jpra.2021.09.003","type":"journal-article","created":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T19:27:32Z","timestamp":1633116452000},"page":"1-9","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"special_numbering":"C","title":["Open tibia\/fibula in the elderly: A retrospective cohort study"],"prefix":"10.1016","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8492-837X","authenticated-orcid":false,"given":"Alice","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Geoghegan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0220-3218","authenticated-orcid":false,"given":"Grant","family":"Nolan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerri","family":"Cooper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2082-2813","authenticated-orcid":false,"given":"Jonathan","family":"Super","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Pearse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satyajit","family":"Naique","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6598-8775","authenticated-orcid":false,"given":"Shehan","family":"Hettiaratchy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1799-5310","authenticated-orcid":false,"given":"Abhilash","family":"Jain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpra.2021.09.003_bib0001","doi-asserted-by":"crossref","DOI":"10.1007\/s00590-018-2332-6","article-title":"The use of personalised patient information leaflets to improve patients\u2019 perceived understanding following open fractures","author":"Morris","year":"2019","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.jpra.2021.09.003_bib0002","doi-asserted-by":"crossref","DOI":"10.1016\/S0020-1383(98)00125-9","article-title":"The epidemiology of open long bone fractures","author":"Court-Brown","year":"1998","journal-title":"Injury"},{"key":"10.1016\/j.jpra.2021.09.003_bib0003","unstructured":"Open fractures. Br Orthop Assoc Br Assoc Plast Reconstr AESTHETIC Surg Audit Stand TRAUMA."},{"issue":"3","key":"10.1016\/j.jpra.2021.09.003_bib0004","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1302\/0301-620X.98B3.35818","article-title":"Improving the care of patients with severe open fractures of the tibia","volume":"98-B","author":"Wordsworth","year":"2016","journal-title":"Bone Joint J [Internet]"},{"key":"10.1016\/j.jpra.2021.09.003_bib0005","doi-asserted-by":"crossref","DOI":"10.1016\/j.eclinm.2018.07.001","article-title":"Changing the System - Major Trauma Patients and Their Outcomes in the NHS (England) 2008\u201317","author":"Moran","year":"2018","journal-title":"EClinicalMedicine"},{"issue":"2","key":"10.1016\/j.jpra.2021.09.003_bib0006","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1016\/j.injury.2018.10.028","article-title":"Open tibial fractures in major trauma centres: A national prospective cohort study of current practice","volume":"50","author":"Young","year":"2019","journal-title":"Injury [Internet]"},{"issue":"2","key":"10.1016\/j.jpra.2021.09.003_bib0007","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1016\/j.injury.2018.10.028","article-title":"Open tibial fractures in major trauma centres: A national prospective cohort study of current practice","volume":"50","author":"Young","year":"2019","journal-title":"Injury [Internet]"},{"issue":"2","key":"10.1016\/j.jpra.2021.09.003_bib0008","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1053\/j.jfas.2014.10.015","article-title":"Are low-energy open ankle fractures in the elderly the new geriatric hip fracture?","volume":"54","author":"Toole","year":"2015","journal-title":"J Foot Ankle Surg [Internet]"},{"issue":"3","key":"10.1016\/j.jpra.2021.09.003_bib0009","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.jcot.2017.07.012","article-title":"Tibial shaft fracture: A large-scale study defining the injured population and associated injuries","volume":"8","author":"Anandasivam","year":"2017","journal-title":"J Clin Orthop Trauma [Internet]"},{"key":"10.1016\/j.jpra.2021.09.003_bib0010","doi-asserted-by":"crossref","DOI":"10.1016\/j.otsr.2016.03.001","article-title":"Ankle fractures in the elderly: Treatment and results in 477 patients","author":"Gauth\u00e9","year":"2016","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.jpra.2021.09.003_bib0011","doi-asserted-by":"crossref","DOI":"10.1016\/j.bjps.2014.01.044","article-title":"Risk factors associated with complications in lower-extremity reconstruction with the distally based sural flap: A systematic review and pooled analysis","author":"De Blacam","year":"2014","journal-title":"J Plast Reconstr Aesthetic Surg"},{"issue":"8","key":"10.1016\/j.jpra.2021.09.003_bib0012","doi-asserted-by":"crossref","first-page":"1650","DOI":"10.1016\/j.injury.2015.04.015","article-title":"Contemporary demographics and complications of patients treated for open ankle fractures","volume":"46","author":"Ovaska","year":"2015","journal-title":"Injury [Internet]"},{"issue":"3","key":"10.1016\/j.jpra.2021.09.003_bib0013","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1016\/j.injury.2016.11.014","article-title":"Low energy open ankle fractures in the elderly: Outcome and treatment algorithm","volume":"48","author":"Wijendra","year":"2017","journal-title":"Injury [Internet]"},{"key":"10.1016\/j.jpra.2021.09.003_bib0014","doi-asserted-by":"crossref","DOI":"10.4103\/0019-5413.38574","article-title":"Management of femoral neck fractures in young adults","author":"Ly","year":"2008","journal-title":"Indian J Orthop"},{"issue":"2","key":"10.1016\/j.jpra.2021.09.003_bib0015","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1513\/AnnalsATS.201507-415BC","article-title":"Validation of a method to identify immunocompromised patients with severe sepsis in administrative databases","volume":"13","author":"Greenberg","year":"2016","journal-title":"Ann Am Thorac Soc"},{"key":"10.1016\/j.jpra.2021.09.003_bib0016","series-title":"Campbell's Operative Orthopaedics","first-page":"118","article-title":"Delayed Union and Non-Union of Fractures","author":"Crenshaw","year":"1987"},{"issue":"3","key":"10.1016\/j.jpra.2021.09.003_bib0017","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1302\/0301-620X.88B3.17120","article-title":"Management of severe open tibial fractures","volume":"88-B","author":"Naique","year":"2006","journal-title":"J Bone Joint Surg Br [Internet]"},{"issue":"3","key":"10.1016\/j.jpra.2021.09.003_bib0018","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1302\/0301-620X.98B3.35818","article-title":"Improving the care of patients with severe open fractures of the tibia","volume":"98-B","author":"Wordsworth","year":"2016","journal-title":"Bone Joint J [Internet]"},{"issue":"12","key":"10.1016\/j.jpra.2021.09.003_bib0019","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1016\/j.ijsu.2014.07.013","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies","volume":"12","author":"von Elm","year":"2014","journal-title":"Int J Surg [Internet]"},{"key":"10.1016\/j.jpra.2021.09.003_bib0020","article-title":"Systematic review of patient reported outcomes from open tibia fractures in low and middle income countries","author":"Schade","year":"2019","journal-title":"Injury [Internet]"},{"key":"10.1016\/j.jpra.2021.09.003_bib0021","doi-asserted-by":"crossref","DOI":"10.1016\/j.injury.2011.12.007","article-title":"The epidemiology of open fractures in adults. A 15-year review","author":"Court-Brown","year":"2012","journal-title":"Injury"},{"key":"10.1016\/j.jpra.2021.09.003_bib0022","doi-asserted-by":"crossref","DOI":"10.1016\/j.injury.2014.07.021","article-title":"Open fractures in the elderly. The importance of skin ageing","author":"Court-Brown","year":"2015","journal-title":"Injury"},{"key":"10.1016\/j.jpra.2021.09.003_bib0023","doi-asserted-by":"crossref","DOI":"10.1016\/j.jcot.2019.06.005","article-title":"Gustilo-Anderson type III tibial fractures have poor functional outcomes in patients over 75 years","author":"Steele","year":"2020","journal-title":"J Clin Orthop Trauma"},{"issue":"11","key":"10.1016\/j.jpra.2021.09.003_bib0024","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0050393","article-title":"Identification of Biomarkers of Human Skin Ageing in Both Genders. Wnt Signalling - A Label of Skin Ageing?","volume":"7","author":"Makrantonaki","year":"2012","journal-title":"PLoS One"},{"issue":"5","key":"10.1016\/j.jpra.2021.09.003_bib0025","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1007\/s00590-019-02416-4","article-title":"How common are vascular injuries in open tibial fractures? A prospective longitudinal cohort study","volume":"29","author":"O'Malley","year":"2019","journal-title":"Eur J Orthop Surg Traumatol [Internet]"},{"issue":"2","key":"10.1016\/j.jpra.2021.09.003_bib0026","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1016\/j.injury.2018.10.028","article-title":"Open tibial fractures in major trauma centres: A national prospective cohort study of current practice","volume":"50","author":"Young","year":"2019","journal-title":"Injury [Internet]"},{"key":"10.1016\/j.jpra.2021.09.003_bib0027","doi-asserted-by":"crossref","DOI":"10.1111\/anae.14512","article-title":"Peri-operative optimisation of elderly and frail patients: a narrative review","author":"Chan","year":"2019","journal-title":"Anaesthesia"},{"key":"10.1016\/j.jpra.2021.09.003_bib0028","article-title":"Standards for Practice for Open Fractures","year":"2017","journal-title":"Br Orthop Assoc Stand Trauma Orthop"},{"key":"10.1016\/j.jpra.2021.09.003_bib0029","article-title":"Fractures (complex): assessment and management","year":"2016","journal-title":"Natl Inst Clin Excell"},{"key":"10.1016\/j.jpra.2021.09.003_bib0030","doi-asserted-by":"crossref","DOI":"10.1001\/archsurg.143.8.776","article-title":"Undertriage of elderly trauma patients to state-designated trauma centers","author":"Chang","year":"2008","journal-title":"Arch Surg"},{"issue":"3","key":"10.1016\/j.jpra.2021.09.003_bib0031","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1302\/0301-620X.98B3.35818","article-title":"Improving the care of patients with severe open fractures of the tibia","volume":"98-B","author":"Wordsworth","year":"2016","journal-title":"Bone Joint J [Internet]"},{"key":"10.1016\/j.jpra.2021.09.003_bib0032","doi-asserted-by":"crossref","DOI":"10.1097\/00005131-199308000-00012","article-title":"Interobserver reliability in the gustilo and anderson classification of open fractures","author":"Horn","year":"1993","journal-title":"J Orthop Trauma"},{"issue":"7","key":"10.1016\/j.jpra.2021.09.003_bib0033","doi-asserted-by":"crossref","first-page":"1376","DOI":"10.1016\/j.injury.2019.05.001","article-title":"A comparison between the Major Trauma Centre management of complex open lower limb fractures in children and the elderly","volume":"50","author":"Khadim","year":"2019","journal-title":"Injury [Internet]"},{"key":"10.1016\/j.jpra.2021.09.003_bib0034","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD012522.pub2","article-title":"Negative pressure wound therapy for open traumatic wounds","author":"Iheozor-Ejiofor","year":"2018","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"10.1016\/j.jpra.2021.09.003_bib0035","doi-asserted-by":"crossref","DOI":"10.1016\/j.epsc.2020.101652","article-title":"Use of Biodegradable Temporizing Matrix (BTM) in large trauma induced soft tissue injury: A two stage repair","author":"Crowley","year":"2020","journal-title":"J Pediatr Surg Case Reports"},{"issue":"9","key":"10.1016\/j.jpra.2021.09.003_bib0036","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.1302\/0301-620X.95B9.31112","article-title":"Court-Brown CM. The outcome of tibial diaphyseal fractures in the elderly","volume":"95 B","author":"Clement","year":"2013","journal-title":"Bone Jt J"},{"issue":"6","key":"10.1016\/j.jpra.2021.09.003_bib0037","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1016\/j.injury.2018.03.010","article-title":"Managing soft tissues in severe lower limb trauma in an ageing population","volume":"49","author":"Noblet","year":"2018","journal-title":"Injury [Internet]"},{"issue":"7","key":"10.1016\/j.jpra.2021.09.003_bib0038","doi-asserted-by":"crossref","first-page":"1376","DOI":"10.1016\/j.injury.2019.05.001","article-title":"A comparison between the Major Trauma Centre management of complex open lower limb fractures in children and the elderly","volume":"50","author":"Khadim","year":"2019","journal-title":"Injury [Internet]"},{"key":"10.1016\/j.jpra.2021.09.003_bib0039","doi-asserted-by":"crossref","DOI":"10.1016\/j.injury.2020.04.050","article-title":"Management of Lower Extremity Fractures in the Elderly: A Focus on Post-Operative Rehabilitation","author":"Donohoe","year":"2020","journal-title":"Injury"},{"key":"10.1016\/j.jpra.2021.09.003_bib0040","doi-asserted-by":"crossref","DOI":"10.1308\/rcsann.2016.0196","article-title":"Enhanced recovery after surgery: An opportunity to improve fractured neck of femur management","author":"Wainwright","year":"2016","journal-title":"Ann R Coll Surg Engl"},{"issue":"9","key":"10.1016\/j.jpra.2021.09.003_bib0041","article-title":"Early supported discharge for hip fracture patients","volume":"47","author":"Kapur","year":"2017","journal-title":"GM"}],"container-title":["JPRAS Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352587821000802?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352587821000802?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T02:20:58Z","timestamp":1762482058000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2352587821000802"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":41,"alternative-id":["S2352587821000802"],"URL":"https:\/\/doi.org\/10.1016\/j.jpra.2021.09.003","relation":{},"ISSN":["2352-5878"],"issn-type":[{"value":"2352-5878","type":"print"}],"subject":[],"published":{"date-parts":[[2022,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Open tibia\/fibula in the elderly: A retrospective cohort study","name":"articletitle","label":"Article Title"},{"value":"JPRAS Open","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpra.2021.09.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 The Authors. Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.","name":"copyright","label":"Copyright"}]}}