{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:04Z","timestamp":1787755444140,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 17-year-old male sustained an open fracture of the right medial malleolus (MM) with significant bone and soft tissue loss following a motor-vehicle accident. Following serial wound debridement, his ankle was effectively reconstructed with MM antiglide plate stabilization, iliac autogenous bone graft, and a free radial forearm soft tissue flap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Open MM fracture with bone and soft tissue loss is rare. It is feasible to treat this injury with a novel surgical reconstruction technique involving autogenous bicortical iliac bone graft and radial forearm free flap.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.18.00163","type":"journal-article","created":{"date-parts":[[2019,6,25]],"date-time":"2019-06-25T09:18:25Z","timestamp":1561454305000},"page":"e0163-e0163","source":"Crossref","is-referenced-by-count":10,"title":["Surgical Reconstruction of an Open Medial Malleolus Fracture Using a Novel Technique"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2896-3947","authenticated-orcid":false,"given":"Ren Yi","family":"Kow","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital Tengku Ampuan Afzan, Pahang, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9944-7253","authenticated-orcid":false,"given":"Jin Chuan","family":"Yuen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital Tengku Ampuan Afzan, Pahang, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4405-859X","authenticated-orcid":false,"given":"Akmal Azim","family":"Ahmad Alwi","sequence":"additional","affiliation":[{"name":"Department of Surgery, International Islamic University Malaysia, Pahang, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5586-5728","authenticated-orcid":false,"given":"Muhammad Firdaus","family":"Abas","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital Tengku Ampuan Afzan, Pahang, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1860-1897","authenticated-orcid":false,"given":"Chooi Leng","family":"Low","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital Tengku Ampuan Afzan, Pahang, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,4]]},"reference":[{"issue":"2","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"e216","DOI":"10.3928\/01477447-20161213-02","article-title":"Medial malleolar fractures and associated deltoid ligament disruptions: current management controversies","volume":"40","author":"Kusnezov","year":"2017","journal-title":"Orthopedics."},{"issue":"6","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"403","DOI":"10.5435\/00124635-200311000-00004","article-title":"Ankle fractures resulting from rotational injuries","volume":"11","author":"Michelson","year":"2003","journal-title":"J Am Acad Orthop Surg."},{"key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1097\/01.prs.0000246506.58128.ec","article-title":"Management of severe open ankle 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Surg."},{"key":"bib7-20230712","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.clinbiomech.2015.10.005","article-title":"Antiglide plating of vertical medial malleolus fractures provides stiffer initial fixation than bicortical or unicortical screw fixation","volume":"31","author":"Wegner","year":"2016","journal-title":"Clin Biomech."},{"issue":"3","key":"bib8-20230712","doi-asserted-by":"crossref","first-page":"531","DOI":"10.22271\/ortho.2017.v3.i3h.85","article-title":"Free flaps in foot and ankle reconstruction: case series","volume":"3","author":"Moon","year":"2017","journal-title":"Int J Orthop Sci."},{"issue":"5","key":"bib9-20230712","doi-asserted-by":"crossref","first-page":"575","DOI":"10.5999\/aps.2013.40.5.575","article-title":"Reconstruction of the lower extremity using free flaps","volume":"40","author":"Kang","year":"2013","journal-title":"Arch Plast 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A survey of OTA and AOFAS members","volume":"46","author":"Swart","year":"2015","journal-title":"Injury."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709767-201906000-00026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:43:02Z","timestamp":1787751782000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709767-201906000-00026"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2019,4]]},"references-count":10,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.18.00163","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4]]}}}