{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:43:08Z","timestamp":1777880588764,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>To review the treatment outcome of patients with neglected femoral shaft fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>Records of 22 men and 3 women aged 20 to 55 (mean, 36) years who underwent open interlocking nailing and bone grafting for neglected (\u22652-month-old) closed femoral shaft fractures were reviewed. 21 had nonunion and 4 had malunion. All patients had deformed, shortened, and wasted lower limbs, with knee stiffness. The mean delay in presentation was 3 (range, 2\u20137) months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>Patients were followed up for a mean of 18 (range, 14\u201330) months. The mean time for radiological union was 5 (range, 4\u20137) months. Three patients had delayed union (\u22656 months) and underwent secondary procedures (dynamisation or bone marrow injection). None had non-union. All had some degree of shortening; in 3 it was &gt;2 cm. None had neurological injury following acute gain in length. None had deep infections; 2 had superficial wound infections and 6 had pin tract infections. Mean knee flexion improved 50\u00b0 (from 70\u00b0 to 120\u00b0) and the mean extensor lag decreased 7\u00b0 (from 15\u00b0 to 8\u00b0). After a mean of 18 weeks, 23 of the patients were able to return to their work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>Open interlocking nailing and bone grafting coupled with aggressive rehabilitation can achieve acceptable results for patients with neglected femoral shaft fractures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/230949901001800110","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:14:58Z","timestamp":1475601298000},"page":"45-49","source":"Crossref","is-referenced-by-count":9,"title":["Open Interlocking Nailing and Bone Grafting for Neglected Femoral Shaft Fractures"],"prefix":"10.1177","volume":"18","author":[{"given":"Ashok S","family":"Gavaskar","sequence":"first","affiliation":[{"name":"Parvathy Hospital, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Mahatma Gandhi Medical College, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2010,4,1]]},"reference":[{"key":"bibr1-230949901001800110","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200003000-00026"},{"key":"bibr2-230949901001800110","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200003000-00002"},{"key":"bibr3-230949901001800110","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173100-00015"},{"key":"bibr4-230949901001800110","first-page":"291","volume":"51","author":"Wolinsky P","year":"2002","journal-title":"Instr Course Lect"},{"key":"bibr5-230949901001800110","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199906000-00033"},{"key":"bibr6-230949901001800110","first-page":"335","volume":"21","author":"Omololu B","year":"2002","journal-title":"West Afr J Med"},{"key":"bibr7-230949901001800110","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198004000-00006"},{"key":"bibr8-230949901001800110","doi-asserted-by":"publisher","DOI":"10.1097\/00004356-200212000-00001"},{"key":"bibr9-230949901001800110","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.75B5.8376444"},{"key":"bibr10-230949901001800110","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199811000-00005"},{"key":"bibr11-230949901001800110","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200405000-00003"},{"key":"bibr12-230949901001800110","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200209000-00004"},{"key":"bibr13-230949901001800110","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1097\/00003086-199105000-00038","volume":"266","author":"Connolly JF","year":"1991","journal-title":"Clin Orthop Relat Res"},{"key":"bibr14-230949901001800110","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1097\/00003086-198607000-00051","volume":"208","author":"Paley D","year":"1986","journal-title":"Clin Orthop Relat Res"},{"key":"bibr15-230949901001800110","first-page":"175","volume":"31","author":"Thakur AJ","year":"1997","journal-title":"Indian J Orthop"},{"key":"bibr16-230949901001800110","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1097\/00003086-198611000-00021","volume":"212","author":"Browner BD","year":"1986","journal-title":"Clin Orthop Relat Res"},{"key":"bibr17-230949901001800110","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567050-00004"},{"key":"bibr18-230949901001800110","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199311000-00004"},{"key":"bibr19-230949901001800110","doi-asserted-by":"publisher","DOI":"10.1097\/01.bto.0000225125.61002.9a"},{"key":"bibr20-230949901001800110","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(95)00091-M"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901001800110","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901001800110","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:16:08Z","timestamp":1777594568000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949901001800110"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,4]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2010,4]]}},"alternative-id":["10.1177\/230949901001800110"],"URL":"https:\/\/doi.org\/10.1177\/230949901001800110","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,4]]}}}