{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T20:08:35Z","timestamp":1770754115939,"version":"3.50.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Summary:<\/jats:title>\n          <jats:p>The treatment of very distal tibial (pilon) fractures remains one of the great challenges for the orthopaedic traumatologist. It is essential that the treating surgeon have a proper understanding of the fracture, the soft tissue injury, and the skills to deal with these often-complicated injuries to minimize the risk of complications that can occur after these often higher energy injuries. Bone stability can be achieved with both circular ring fixation and plating, and both can yield good results in experienced hands. This debate considers the advantages and disadvantages of each technique.<\/jats:p>","DOI":"10.1097\/bot.0000000000001640","type":"journal-article","created":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T12:55:15Z","timestamp":1572958515000},"page":"S7-S13","source":"Crossref","is-referenced-by-count":6,"title":["Distal Tibial Fractures With or Without Articular Extension: Fixation With Circular External Fixation or Open Plating? A Personal Point of View"],"prefix":"10.1097","volume":"33","author":[{"given":"David W.","family":"Lowenberg","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Stanford University School of Medicine, Palo Alto, CA; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond M.","family":"Smith","sequence":"additional","affiliation":[{"name":"Orthopaedic Trauma Service, Massachusetts General Hospital, Boston, MA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"1537","DOI":"10.2106\/00004623-196547080-00009","article-title":"Treatment of comminuted distal tibal fractures by combined dual-pin fixation and limited open reduction","volume":"47A","author":"Scheck","year":"1965","journal-title":"J Bone Joint Surg Am."},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/S0020-1383(69)80066-5","article-title":"Fracture 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Assess."},{"key":"R15-20230828","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1097\/00005373-198307000-00008","article-title":"Intra-articular fractures of the distal tibia: the pilon fracture","volume":"23","author":"Bourne","year":"1983","journal-title":"J Trauma."},{"key":"R16-20230828","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1097\/00005131-199902000-00002","article-title":"A staged protocol for soft tissue management in the treatment of complex ankle fractures","volume":"13","author":"Sirkin","year":"1999","journal-title":"J Orthop Trauma."},{"key":"R17-20230828","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1097\/BOT.0b013e3181d04bc0","article-title":"The results of early primary open reduction and internal fixation for treatment of OTA 43.C-type tibial pilon fractures: a cohort study","volume":"24","author":"White","year":"2010","journal-title":"J Orthop Trauma."}],"container-title":["Journal of Orthopaedic 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