{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:53Z","timestamp":1787755553407,"version":"build-2784847793"},"reference-count":19,"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>A 14-year-old pedestrian was hit by a car and encountered similar bilateral Gustilo IIIB open tibial fractures. The right tibial fracture involved a large borderline vital butterfly fragment without periosteal contact, which was retained and proceeded to sufficient healing within 12 weeks. The left tibial fracture was treated according to the principles for the treatment of severe open fractures in adults, involving resection of devitalized fragments and bone transport, and healed within 15 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Teenagers do possess larger bone healing potential than adults. Therefore, a rapid bone union can be achieved even with apparently devitalized bone fragments if sufficient soft-tissue closure and stable fracture fixation is established early in the treatment of open limb fractures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00390","type":"journal-article","created":{"date-parts":[[2020,12,24]],"date-time":"2020-12-24T15:54:23Z","timestamp":1608825263000},"page":"e20.00390-e20.00390","source":"Crossref","is-referenced-by-count":0,"title":["Resect or Retain Bone Fragments in Children and Teenagers with Severe Open Fractures?"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7934-2983","authenticated-orcid":false,"given":"Jan Duedal","family":"R\u00f6lfing","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Aarhus University Hospital, Aarhus, Denmark"},{"name":"Department of Clinical Medicine, Aarhus University, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7215-8323","authenticated-orcid":false,"given":"Mats","family":"Bue","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Aarhus University Hospital, Aarhus, Denmark"},{"name":"Department of Clinical Medicine, Aarhus University, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3603-6489","authenticated-orcid":false,"given":"Birgitte","family":"Kiil","sequence":"additional","affiliation":[{"name":"Department of Plastic and Breast Surgery, Aarhus University Hospital, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7204-1464","authenticated-orcid":false,"given":"Juozas","family":"Petruskevicius","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Aarhus University Hospital, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"8","key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1097\/00005373-198408000-00009","article-title":"Problems in the management of type III (severe) open fractures: a new classification of type III open fractures","volume":"24","author":"Gustilo","year":"1984","journal-title":"J Trauma."},{"issue":"5","key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1097\/01241398-199609000-00015","article-title":"Severe (type III) open fractures of the tibia in children","volume":"16","author":"Buckley","year":"1996","journal-title":"J Pediatr Orthop."},{"issue":"5","key":"bib3-20230720","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1302\/2058-5241.3.170072","article-title":"Open fractures of the lower extremity: current management and clinical outcomes","volume":"3","author":"Elniel","year":"2018","journal-title":"EFORT Open Rev."},{"issue":"6","key":"bib4-20230720","doi-asserted-by":"crossref","first-page":"801","DOI":"10.2106\/00004623-198769060-00002","article-title":"Severe open fractures of the tibia","volume":"69","author":"Caudle","year":"1987","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"bib5-20230720","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1302\/0301-620X.72B5.2211760","article-title":"External fixation for type III open tibial fractures","volume":"72","author":"Court-Brown","year":"1990","journal-title":"J Bone Joint Surg Br."},{"issue":"4","key":"bib6-20230720","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/S8756-3282(00)00353-7","article-title":"Structural and cellular changes during bone growth in healthy children","volume":"27","author":"Parfitt","year":"2000","journal-title":"Bone."},{"issue":"432","key":"bib7-20230720","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/01.blo.0000156480.76450.04","article-title":"Pediatric fractures of the forearm","author":"Rodriguez-Merchan","year":"2005","journal-title":"Clin Orthop Relat Res."},{"issue":"5","key":"bib8-20230720","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1097\/00005131-199707000-00010","article-title":"Treatment of type II and type III open tibia fractures in children","volume":"11","author":"Bartlett","year":"1997","journal-title":"J Orthop Trauma."},{"issue":"8","key":"bib9-20230720","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1097\/BOT.0b013e3181c7cb6b","article-title":"A new classification scheme for open fractures","volume":"24","year":"2010","journal-title":"J Orthop Trauma."},{"issue":"12","key":"bib10-20230720","doi-asserted-by":"crossref","first-page":"2784","DOI":"10.2106\/00004623-200512000-00027","article-title":"Open fractures in children. 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