{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T06:52:37Z","timestamp":1756191157122,"version":"3.41.0"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>\n                           <jats:italic toggle=\"yes\">Clinical vignette<\/jats:italic>:<\/jats:title>\n          <jats:p>\n                           <jats:italic toggle=\"yes\">A 55-year-old retired overweight male contractor with controlled type 2 diabetes is performing repairs on his barn when he slips and falls from a ladder. He catches his foot in the rungs and sustains a type 2 open pilon fracture with metaphyseal comminution (OTA\/AO 43-C family) and an associated fibula fracture. The 6-cm open wound is located medially and is contaminated with clothing but not the surrounding environment. One of your partners performs a thorough surgical debridement, is able to close the wound, and applies a spanning ankle external fixator and asks you to care for the patient to provide a definitive operation. Please argue for and against inclusion of a medially based plate in the fixation construct through the open wound at the time of definitive fixation.<\/jats:italic>\n                        <\/jats:p>","DOI":"10.1097\/bot.0000000000002147","type":"journal-article","created":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T03:06:01Z","timestamp":1639969561000},"page":"e40-e41","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Medial Plating in Open Pilon Fractures May Be Indicated in the Right Patient"],"prefix":"10.1097","volume":"36","author":[{"given":"Justin","family":"Haller","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah School of Medicine, Salt Lake City, UT"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20250614","doi-asserted-by":"crossref","first-page":"e189","DOI":"10.1097\/BOT.0000000000001726","article-title":"What are the risk factors for deep infection in OTA\/AO 43C pilon fractures","volume":"34","author":"Spitler","year":"2020","journal-title":"J Orthop Trauma."},{"key":"R2-20250614","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1097\/BOT.0000000000001904","article-title":"The diabetic pilon fracture: are they as bad as we think?","volume":"35(3)","author":"Oladeji","year":"2021","journal-title":"J Orthop Trauma."},{"key":"R3-20250614","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1097\/BOT.0000000000001500","article-title":"Risk factors for tibial plafond nonunion: medial column fixation may reduce nonunion rates","volume":"33","author":"Haller","year":"2019","journal-title":"J Orthop Trauma."},{"key":"R4-20250614","doi-asserted-by":"crossref","first-page":"287","DOI":"10.2106\/00004623-200302000-00016","article-title":"Tibial plafond fractures. How do these ankles function over time?","volume":"85","author":"Marsh","year":"2003","journal-title":"J Bone Joint Surg Am."},{"key":"R5-20250614","doi-asserted-by":"crossref","first-page":"1893","DOI":"10.2106\/00004623-200310000-00005","article-title":"Outcomes after treatment of high-energy tibial plafond fractures","volume":"85","author":"Pollak","year":"2003","journal-title":"J Bone Joint Surg Am."},{"key":"R6-20250614","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/S0020-1383(69)80066-5","article-title":"Fractures of the lower end of the tibia into the ankle-joint","volume":"1","author":"Ruedi","year":"1969","journal-title":"Injury."}],"container-title":["Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000002147","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,14]],"date-time":"2025-06-14T19:02:11Z","timestamp":1749927731000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000002147"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1097\/bot.0000000000002147","relation":{},"ISSN":["0890-5339"],"issn-type":[{"type":"print","value":"0890-5339"}],"subject":[],"published":{"date-parts":[[2022,1]]},"assertion":[{"value":"2021-04-22","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}