{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:38:19Z","timestamp":1787755099020,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","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 45-year-old man presented with a Gustillo Anderson type III A open segmental right femur shaft fracture with intercondylar extension and with an 18-cm extruded segment of bone. After sterilization, the segment of bone was reimplanted. The fracture healed, and the patient is ambulant without support with no signs of any infection after 2 years of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In cases of open fracture with an extruded bone segment available, depending on the timing of presentation, soft tissue status, and level of contamination of the bone segment, reimplantation of the extruded bone can yield a satisfactory result.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.18.00371","type":"journal-article","created":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T11:36:49Z","timestamp":1571053009000},"page":"e0371-e0371","source":"Crossref","is-referenced-by-count":6,"title":["Successful Reimplantation of an 18-cm-Long Extruded Femur in an Open Fracture"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6945-9640","authenticated-orcid":false,"given":"Subramaniam","family":"Gannamani","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Sunshine Hospitals, Secunderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5519-3837","authenticated-orcid":false,"given":"Brijesh","family":"Kidiyoor","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Sunshine Hospitals, Secunderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0100-7402","authenticated-orcid":false,"given":"Praful","family":"Kilaru","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Sunshine Hospitals, Secunderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7613-3924","authenticated-orcid":false,"given":"Vinay Mathew","family":"Joseph","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Sunshine Hospitals, Secunderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4386-1025","authenticated-orcid":false,"given":"Kamalakar","family":"Rao Rachakonda","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Sunshine Hospitals, Secunderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5282-7427","authenticated-orcid":false,"given":"Ashwani","family":"Nugur","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Sunshine Hospitals, Secunderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"2","key":"bib1-20230811","doi-asserted-by":"crossref","first-page":"66","DOI":"10.5704\/MOJ.1407.016","article-title":"Reimplantation of an extruded femoral segment after gamma sterilization in A type IIIA supracondylar femur fracture: a case report","volume":"8","author":"Aizah","year":"2014","journal-title":"Malaysia Orthop J."},{"key":"bib2-20230811","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1097\/00003086-198710000-00034","article-title":"Management of open fractures with sterilization of large, contaminated, extruded cortical fragments","volume":"223","author":"van Winkle","year":"1987","journal-title":"Clin Orthop Relat Res."},{"issue":"2","key":"bib3-20230811","first-page":"229","article-title":"Traumatic femoral bone defect reconstruction with an autoclaved autologous femoral segment: a 10-year 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