{"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":1787755591182,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We discuss our reconstructive approach to avoid an above-knee amputation in a 33-year-old man presenting after lower extremity crush injury. We used a vascularized tibial bone flap and a foot fillet flap to restore length and joint functionality to the residual limb. The patient ambulates with good prosthetic fit on durable heel pad skin and 100\u00b0 active knee motion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This pairing of intramedullary nail with vascularized bone flap and fillet flap to address soft-tissue coverage and retain limb length is a useful tool in traumatic lower extremity injury management, providing an alternative technique for tibial bone graft stabilization with robust, sensate tissue coverage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00496","type":"journal-article","created":{"date-parts":[[2020,6,12]],"date-time":"2020-06-12T15:10:46Z","timestamp":1591974646000},"page":"e0496-e0496","source":"Crossref","is-referenced-by-count":2,"title":["Preserving the Knee in the Setting of High Segmental Tibial Bone and Massive Soft-Tissue Loss Using Vascularized Distal Tibial Bone Docking and a Foot Fillet Flap"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9894-2386","authenticated-orcid":false,"given":"Garyn T.","family":"Metoyer","sequence":"first","affiliation":[{"name":"Wright State University, Boonshoft School of Medicine, Dayton, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1757-8410","authenticated-orcid":false,"given":"Spencer R.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Plastic Surgery, Wright State University, Boonshoft School of Medicine, Dayton, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1143-5654","authenticated-orcid":false,"given":"Brandon R.","family":"Horne","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Plastic Surgery, Wright State University, Boonshoft School of Medicine, Dayton, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3515-6286","authenticated-orcid":false,"given":"Salim N.","family":"Mancho","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Plastic Surgery, Wright State University, Boonshoft School of Medicine, Dayton, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7985-6204","authenticated-orcid":false,"given":"Sunishka M.","family":"Wimalawansa","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Plastic Surgery, Wright State University, Boonshoft School of Medicine, Dayton, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"10","key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"1951","DOI":"10.1007\/s11999.0000000000000166","article-title":"Etiology of above-knee amputations in the United 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Int."},{"issue":"3","key":"bib11-20230720","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1097\/00006534-197109000-00050","article-title":"The surgical management of decubitus ulcers by muscle transposition","volume":"48","author":"Ger","year":"1971","journal-title":"Plast Reconstr Surg."},{"issue":"1","key":"bib12-20230720","first-page":"1","article-title":"Amputations below the knee","volume":"13","author":"Burgess","year":"1969","journal-title":"Art Limbs."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00496","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:54Z","timestamp":1787751894000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00496"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.19.00496","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}