{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:30Z","timestamp":1787755530116,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We present a case of osteomyelitis after a grade 3A open tibial shaft fracture complicated by incomplete removal of an antibiotic intramedullary rod. The authors are unaware of any reports with this specific complication and provide a novel technique for cement mantle removal involving a distal tibial corticotomy and antegrade cement impaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Antibiotic nails can successfully treat intramedullary osteomyelitis, but surgeons may encounter unexpected issues due to custom, intraoperative fabrication. This case describes one example of how to solve the intraoperative problem of a retained cement mantle during antibiotic rod extraction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00106","type":"journal-article","created":{"date-parts":[[2020,10,5]],"date-time":"2020-10-05T15:00:05Z","timestamp":1601910005000},"page":"e20.00106-e20.00106","source":"Crossref","is-referenced-by-count":0,"title":["Removing a Retained Antibiotic Cement Nail from a Tibia"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2868-7134","authenticated-orcid":false,"given":"Zachary","family":"Mallon","sequence":"first","affiliation":[{"name":"The Permanente Medical Group, Department of Orthopaedic Surgery, Vacaville, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6993-6777","authenticated-orcid":false,"given":"Jason","family":"Provus","sequence":"additional","affiliation":[{"name":"The Permanente Medical Group, Department of Orthopaedic Surgery, Vacaville, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9752-3008","authenticated-orcid":false,"given":"Gavin","family":"Lee","sequence":"additional","affiliation":[{"name":"The Permanente Medical Group, Department of Orthopaedic Surgery, Vacaville, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"3","key":"bib1-20230719","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1302\/0301-620X.77B3.7744927","article-title":"The epidemiology of tibial fractures","volume":"77","author":"Court-Brown","year":"1995","journal-title":"J Bone Joint Surg Br."},{"issue":"1","key":"bib2-20230719","doi-asserted-by":"crossref","first-page":"10","DOI":"10.5435\/00124635-201001000-00003","article-title":"Open tibial shaft fractures: I. 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