{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:17:42Z","timestamp":1787015862701,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T00:00:00Z","timestamp":1666224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Internal fixation for severe open articular bone defects is sometimes ineffective or dangerous. In the emergency stage, radical debridement and infection prevention are demanded to provide a good tissue base and the space\u2010occupying effect to provide enough necessary space to avoid soft\u2010tissue contraction for the reconstruction. In addition, the 3D printing technology makes individual limb reconstruction a reality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>Here, we present a 31\u2010year\u2010old patient with an open fracture and severe bone defect of his left elbow caused by traffic accident, classified as Gustilo\u2013Anderson IIIB. We adopted aggressive debridement and insertion of polymethyl methacrylate (PMMA) to prevent the infection and temporarily construct the bone defect in the emergency stage. Secondly, the total elbow arthroplasty was performed using a unique three\u2010dimensional (3D) printed prosthesis to reconstruct the elbow joint. During the follow\u2010up, the elbow movement function was satisfactory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The modified Masquelet technique assisting 3D printing of personalized elbow joint makes the satisfactory functional reconstruction for open high\u2010energy injuries come true. It could be promoted for the similar surgery of other open joints fractures with severe bone defects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.13522","type":"journal-article","created":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T07:19:54Z","timestamp":1666250394000},"page":"3423-3430","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Modified Masquelet Technique Assisting\n                    <scp>3D<\/scp>\n                    Printed Elbow Prosthesis for Open Elbow Fracture with Severe Bone Defect: A Case Report and Technique Note"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9584-2398","authenticated-orcid":false,"given":"Chunquan","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of Trauma and Microsurgery Orthopedics Zhongnan Hospital of Wuhan University  Wuhan China"},{"name":"Department of Orthopedics Wuhan Fourth Hospital  Puai Hospital Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4335-8021","authenticated-orcid":false,"given":"Chong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Trauma and Microsurgery Orthopedics Zhongnan Hospital of Wuhan University  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Trauma and Microsurgery Orthopedics Zhongnan Hospital of Wuhan University  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guorong","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Trauma and Microsurgery Orthopedics Zhongnan Hospital of Wuhan University  Wuhan 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