{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:31Z","timestamp":1787755591150,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","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 33-year-old woman with Glanzmann thrombasthenia presented to us with a distal tibia nonunion. We attempted to treat her with a multiplanar ring external fixator, but the patient was unable to tolerate the correction, so we resorted to a tibiotalocalcaneal fusion. Hemostasis was difficult to achieve despite the use of antithrombinolytics, factor VII, and platelet transfusions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Bleeding can be difficult to control in patients with Glanzmann thrombasthenia. However, overaggressive preadministration of antithrombinolytics should be avoided because it may have adverse effects such as acrocyanosis. The presence of thrombasthenia does not seem to affect the success of arthrodesis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00277","type":"journal-article","created":{"date-parts":[[2020,1,9]],"date-time":"2020-01-09T12:59:07Z","timestamp":1578574747000},"page":"e0277-e0277","source":"Crossref","is-referenced-by-count":2,"title":["Lessons Learned: Deformity Correction and Tibiotalocalcaneal Arthrodesis in a Patient With Glanzmann Thrombasthenia"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8587-0387","authenticated-orcid":false,"given":"Kenrick","family":"Lam","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9689-4832","authenticated-orcid":false,"given":"Cory","family":"Janney","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, Texas"},{"name":"United States Navy, Washington, District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2420-7316","authenticated-orcid":false,"given":"Vinod","family":"Panchbhavi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"2","key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1177\/107602960300900213","article-title":"Glanzmann's thrombasthenia proposed optimal management during surgery and delivery","volume":"9","author":"Bell","year":"2003","journal-title":"Clin Appl Thromb Hemost."},{"issue":"6","key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1111\/j.1540-8191.2005.00098.x","article-title":"Coronary artery bypass grafting in a patient with Glanzmann's thrombasthenia","volume":"20","author":"Ryckman","year":"2005","journal-title":"J Card Surg."},{"issue":"4","key":"bib3-20230720","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1213\/01.ANE.0000131726.09685.BF","article-title":"A patient with Glanzmann's thrombasthenia for emergent abdominal surgery","volume":"99","author":"Uzunlar","year":"2004","journal-title":"Anesth Analg."},{"issue":"8","key":"bib4-20230720","first-page":"1038","article-title":"The international, prospective Glanzmann Thrombasthenia Registry: treatment and outcomes in surgical intervention","volume":"100","author":"Poon","year":"2015","journal-title":"Haematologica."},{"key":"bib5-20230720","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/1750-1172-1-10","article-title":"Glanzmann thrombasthenia","volume":"1","author":"Nurden","year":"2006","journal-title":"Orphanet J Rare Dis."},{"issue":"1","key":"bib7-20230720","doi-asserted-by":"crossref","first-page":"29","DOI":"10.2165\/11530740-000000000-00000","article-title":"Costs to hospitals of acquiring and processing blood in the US: a survey of hospital-based blood banks and transfusion services","volume":"9","author":"Toner","year":"2011","journal-title":"Appl Health Econ Health Pol."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00277","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:49Z","timestamp":1787751889000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00277"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":6,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.19.00277","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}