{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:48:30Z","timestamp":1777657710549,"version":"3.51.4"},"reference-count":0,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2011,5,1]],"date-time":"2011-05-01T00:00:00Z","timestamp":1304208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Geriatr Orthop Surg Rehabil"],"published-print":{"date-parts":[[2011,5]]},"abstract":"<jats:p>We present for discussion a case of a right displaced proximal metaphyseal tibial fracture with intraarticular extension and a same-level proximal fibula fracture with severe degenerative arthritis in a medically complex 89 year old community dwelling woman with a history of paroxysmal atrial fibrillation, right lower extremity deep venous thrombosis 1 month prior to this admission on warfarin, obesity, peripheral vascular disease, and previous stroke. Her course is complicated by demand-mediated myocardial infarction. This case demonstrates that comanagement can lead to minimal delays and a satisfactory outcome in a complex, high-risk patient.<\/jats:p>","DOI":"10.1177\/2151458511412167","type":"journal-article","created":{"date-parts":[[2011,7,6]],"date-time":"2011-07-06T01:01:52Z","timestamp":1309914112000},"page":"110-116","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Proximal Tibia and Fibula Fragility Fracture Complicated by Anticoagulation and Demand-Mediated Myocardial Infarction"],"prefix":"10.1177","volume":"2","author":[{"given":"Daniel","family":"Mendelson","sequence":"first","affiliation":[{"name":"Department of Medicine, Highland Hospital; Division of Geriatrics, University of Rochester School of Medicine & Dentistry, Rochester, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Kates","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Highland Hospital & University of Rochester School of Medicine & Dentistry, Rochester, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Pacos","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Highland Hospital & University of Rochester School of Medicine & Dentistry, Rochester, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Highland Hospital & University of Rochester School of Medicine & Dentistry, Rochester, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Wu","sequence":"additional","affiliation":[{"name":"Unity Spine Center, Department of Neurology & Rehabilitation, Unity Health System, Rochester, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,7,5]]},"container-title":["Geriatric Orthopaedic Surgery &amp; Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2151458511412167","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2151458511412167","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:09:53Z","timestamp":1777446593000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2151458511412167"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,5]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,5]]}},"alternative-id":["10.1177\/2151458511412167"],"URL":"https:\/\/doi.org\/10.1177\/2151458511412167","relation":{},"ISSN":["2151-4593","2151-4593"],"issn-type":[{"value":"2151-4593","type":"print"},{"value":"2151-4593","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,5]]}}}