{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T10:41:36Z","timestamp":1771929696923,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,10,28]],"date-time":"2013-10-28T00:00:00Z","timestamp":1382918400000},"content-version":"vor","delay-in-days":300,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Orthopedics"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:p>Clostridial myonecrosis is most often seen in settings of trauma, surgery, malignancy, and other underlying immunocompromised conditions. Since 1953 cases of gas gangrene have been reported in orthopaedic patients including open fractures, closed fractures, and orthopaedic surgeries. We present a case of 55\u2010year\u2010old obese woman who developed rapidly progressive gas gangrene in her right leg accompanied by tibial plateau fracture without skin lacerations. She was diagnosed with clostridial myonecrosis and above\u2010the\u2010knee amputation was carried out. This patient made full recovery within three weeks of the initial episode. We identified a total of 50 cases of gas gangrene in orthopaedic patients. Several factors, if available, were analyzed for each case: age, cause of injury, fracture location, pathogen, and outcome. Based on our case report and the literature review, emergency clinicians should be aware of this severe and potentially fatal infectious disease and should not delay treatment or prompt orthopedic surgery consultation.<\/jats:p>","DOI":"10.1155\/2013\/942076","type":"journal-article","created":{"date-parts":[[2013,10,28]],"date-time":"2013-10-28T17:05:41Z","timestamp":1382979941000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Gas Gangrene in Orthopaedic Patients"],"prefix":"10.1155","volume":"2013","author":[{"given":"Zhimin","family":"Ying","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigui","family":"Yan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhong","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,10,28]]},"reference":[{"key":"e_1_2_8_1_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1957.01280120017002"},{"key":"e_1_2_8_2_2","unstructured":"AltemeierW. A. Diagnosis classification and general management of gas producing infections particularly those produced by Clostridium Perfringens proceedings of the 3rd International Conference on Hyperbaric Medicine 1966 Washington DC USA National Academy of Sciences 481\u2013490."},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(05)82000-1"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.1994.tb01786.x"},{"key":"e_1_2_8_5_2","first-page":"135","article-title":"Gas gangrene complicating open forearm fractures. Report of 5 cases","volume":"59","author":"Fee N. F.","year":"1977","journal-title":"Journal of Bone and Joint Surgery A"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198005000-00036"},{"key":"e_1_2_8_7_2","article-title":"Gas gangrene following compound fracture of femur","volume":"62","author":"Fulford P. C.","year":"1969","journal-title":"Proceedings of the Royal Society of Medicine"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(76)90044-9"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2004.5.315"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198603000-00013"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02337"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/459812"},{"key":"e_1_2_8_13_2","first-page":"416","article-title":"Clostridium septicum gangrene complicating a closed femoral fracture","volume":"59","author":"Mulier T.","year":"1993","journal-title":"Acta Orthopaedica Belgica"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anplas.2003.12.010"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(53)91496-2"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(59)91909-9"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1969.03160260049013"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-192910000-00016"},{"key":"e_1_2_8_19_2","article-title":"Traditional bone setters and gas gangrene","volume":"1","author":"Brume J.","year":"1985","journal-title":"The Lancet"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198803000-00042"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e3181e15e4f"},{"key":"e_1_2_8_22_2","first-page":"40","article-title":"Salvage of a lower limb after gas gangrene","volume":"47","author":"Hoffman S.","year":"1971","journal-title":"Bulletin of the New York Academy of Medicine"},{"key":"e_1_2_8_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197112000-00001"},{"key":"e_1_2_8_24_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/19.4.761"},{"key":"e_1_2_8_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1977.tb06625.x"},{"key":"e_1_2_8_26_2","first-page":"265","article-title":"Clostridium perfringens infection of an anterior iliac crest bone graft donor site: a case report","author":"Miller S. D.","year":"1993","journal-title":"Clinical Orthopaedics and Related Research"},{"key":"e_1_2_8_27_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197311222892107"},{"key":"e_1_2_8_28_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.217.6.806"},{"key":"e_1_2_8_29_2","first-page":"333","article-title":"Gas gangrene: a review","volume":"19","author":"Present D. A.","year":"1990","journal-title":"Orthopaedic Review"},{"key":"e_1_2_8_30_2","doi-asserted-by":"publisher","DOI":"10.1086\/341928"},{"key":"e_1_2_8_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1438-4221(00)80074-0"},{"key":"e_1_2_8_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/1534734608324123"},{"key":"e_1_2_8_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60614-4"}],"container-title":["Case Reports in Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crior\/2013\/942076.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crior\/2013\/942076.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2013\/942076","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T18:53:22Z","timestamp":1763405602000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2013\/942076"}},"subtitle":[],"editor":[{"given":"I.-H.","family":"Choi","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"A.","family":"Ramasamy","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"H. G.","family":"Said","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2013,1]]},"references-count":33,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,1]]}},"alternative-id":["10.1155\/2013\/942076"],"URL":"https:\/\/doi.org\/10.1155\/2013\/942076","archive":["Portico"],"relation":{},"ISSN":["2090-6749","2090-6757"],"issn-type":[{"value":"2090-6749","type":"print"},{"value":"2090-6757","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1]]},"assertion":[{"value":"2013-08-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-09-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-10-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"942076"}}