{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:59Z","timestamp":1787755619361,"version":"build-2784847793"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case Report:<\/jats:title>\n                    <jats:p>An 83-year-old woman presented with a high-energy tibial fracture. We treated her with temporary external fixation and delayed flexible intramedullary nailing because of extensive soft-tissue damage and interference from the hardware retained from a previous total knee arthroplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In our opinion, flexible intramedullary nailing is an effective procedure and provides good functional and radiological results in high-energy tibial fractures with extensive soft-tissue loss.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00030","type":"journal-article","created":{"date-parts":[[2020,6,4]],"date-time":"2020-06-04T10:01:36Z","timestamp":1591264896000},"page":"e0030-e0030","source":"Crossref","is-referenced-by-count":1,"title":["Flexible Intramedullary Nailing in High-Energy Tibial Fractures With Extensive Soft-Tissue Loss"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0548-8485","authenticated-orcid":false,"given":"Jung-Mo","family":"Hwang","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6651-0340","authenticated-orcid":false,"given":"Chan","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1009-3784","authenticated-orcid":false,"given":"Deuk-Soo","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4085-5674","authenticated-orcid":false,"given":"Gi-Soo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3403-9240","authenticated-orcid":false,"given":"Jeong-Kil","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5260-5173","authenticated-orcid":false,"given":"Byung-Kuk","family":"An","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"3","key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1097\/00005131-200103000-00002","article-title":"Surgical options for the treatment of severe tibial pilon fractures: a study of three techniques","volume":"15","author":"Blauth","year":"2001","journal-title":"J Orthop Trauma."},{"issue":"suppl 4","key":"bib3-20230720","doi-asserted-by":"crossref","first-page":"SD92","DOI":"10.1016\/S0020-1383(01)00163-2","article-title":"High energy plafond fractures treated by a spanning external fixator initially and followed by a second stage open reduction internal fixation of the articular surface\u2014preliminary report","volume":"32","author":"Dickson","year":"2001","journal-title":"Injury."},{"issue":"1","key":"bib4-20230720","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/S0030-5898(05)70196-6","article-title":"The treatment of pilon fractures","volume":"32","author":"Sirkin","year":"2001","journal-title":"Orthop Clin North Am."},{"issue":"10","key":"bib5-20230720","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1007\/s00113-005-1012-2","article-title":"Management strategies in the first operative phase after long-bone injury of the lower extremity in multiple-injured patients. A systematic literature review","volume":"108","author":"Rixen","year":"2005","journal-title":"Unfallchirurg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00030","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:55Z","timestamp":1787751895000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00030"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":4,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.19.00030","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}