{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T22:24:05Z","timestamp":1792707845757,"version":"4.5.0"},"reference-count":19,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"1","license":[{"start":{"date-parts":[[2007,1,1]],"date-time":"2007-01-01T00:00:00Z","timestamp":1167609600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2007,1]]},"abstract":"<jats:p>We have managed 21 patients with a fracture of the tibia complicated by bone and soft-tissue loss as a result of an open fracture in 10, or following debridement of an infected nonunion in 11, by resection of all the devitalised tissues, acute limb shortening to close the defect, application of an external fixator and metaphyseal osteotomy for re-lengthening. The mean bone loss was 4.7 cm (3 to 11). The mean age of the patients was 28.8 years (12 to 54) and the mean follow-up was 34.8 months (24 to 75).<\/jats:p>\n                  <jats:p>All the fractures united with a well-aligned limb. The mean duration of treatment for the ten grade-III A+B open fractures (according to the Gustilo-Anderson classification) was 5.7 months (4.5 to 8) and for the nonunions, 7.6 months (5.5 to 12.5). Complications included one refracture, one transient palsy of the peroneal nerve and one equinus contracture of 10\u00b0.<\/jats:p>","DOI":"10.1302\/0301-620x.89b1.17595","type":"journal-article","created":{"date-parts":[[2007,1,26]],"date-time":"2007-01-26T15:35:05Z","timestamp":1169825705000},"page":"80-88","source":"Crossref","is-referenced-by-count":127,"title":["Acute shortening and re-lengthening in the management of bone and soft-tissue loss in complicated fractures of the tibia"],"prefix":"10.1302","volume":"89-B","author":[{"given":"M. A.","family":"El-Rosasy","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, University of Tanta, Al-Geish Street, Tanta, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Paley D, Catagni MA, Argnani F, et al.\n                      Ilizarov treatment of tibial nonunions with bone loss. Clin Orthop 1989;241:146\u201365.","DOI":"10.1097\/00003086-198904000-00017"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Cierny G 3rd, Zorn KE.\n                      Segmental tibial defect: comparing conventional and Ilizarov methodologies. 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