{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:13Z","timestamp":1787755513242,"version":"build-2784847793"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 26-year-old man presented after an automobile versus pedestrian accident with a Type IIIA open femur fracture complicated by a necrotizing soft-tissue infection (NSTI) with significant bone loss. Multiple limb-preserving operations failed, including the placement of a plate-assisted, motorized lengthening intramedullary nail with a chimeric free flap. We describe the patient\u2019s successful definitive treatment with a Van Nes rotationplasty (VNR). The patient currently ambulates independently with a prosthesis and is without recurrent infection after 3 years of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>VNR is a potential strategy to avoid transfemoral amputation or hip disarticulation in open femur fractures complicated by NSTI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00470","type":"journal-article","created":{"date-parts":[[2021,11,4]],"date-time":"2021-11-04T15:00:17Z","timestamp":1636038017000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Early Post-Traumatic Van Nes Rotationplasty After an Open Femur Fracture With a Necrotizing Soft-Tissue Infection"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8373-1666","authenticated-orcid":false,"given":"Erik Y.","family":"Tye","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Harbor-University of California, Los Angeles, Medical Center, Torrance, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7736-795X","authenticated-orcid":false,"given":"Adam J.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Harbor-University of California, Los Angeles, Medical Center, Torrance, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7673-2895","authenticated-orcid":false,"given":"Kristen","family":"Combs","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Harbor-University of California, Los Angeles, Medical Center, Torrance, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1396-5357","authenticated-orcid":false,"given":"Robert D.","family":"Kay","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Harbor-University of California, Los Angeles, Medical Center, Torrance, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6346-1838","authenticated-orcid":false,"given":"Jason A.","family":"Bryman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Harbor-University of California, Los Angeles, Medical Center, Torrance, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Max","family":"Hoshino","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Harbor-University of California, Los Angeles, Medical Center, Torrance, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10]]},"reference":[{"issue":"10","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"657","DOI":"10.5435\/00124635-201210000-00005","article-title":"Principles of rotationplasty","volume":"20","author":"Gupta","year":"2012","journal-title":"J Am Acad Orthop Surg."},{"issue":"2","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/S0001-2092(06)60488-2","article-title":"Rotationplasty\u2014a unique surgical procedure with a functional outcome","volume":"84","author":"Wick","year":"1997","journal-title":"AORN."},{"issue":"10","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"1504","DOI":"10.2106\/00004623-199710000-00007","article-title":"Tibia-hindfoot osteomusculocutaneous rotationplasty with calcaneopelvic arthrodesis for extensive loss of bone from the proximal part of the femur. A report of two cases","volume":"79","author":"Peterson","year":"1997","journal-title":"J Bone Joint Surg Am."},{"issue":"1636","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"1636","DOI":"10.2106\/00004623-200408000-00006","article-title":"Functional outcomes following trauma-related lower-extremity amputation","volume":"86","author":"MacKenzie","year":"2004","journal-title":"J Bone Joint Surg Am."},{"issue":"3","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1007\/s00402-012-1671-8","article-title":"Eighteen-year follow-up after rotationplasty for a grade IIIC open fracture of the distal femur","volume":"133","author":"Petri","year":"2013","journal-title":"Arch Orthop Trauma Surg."},{"key":"bib6-20240805","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":"bib7-20240805","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1007\/s00402-005-0009-1","article-title":"Characteristics and outcome of infections associated with tumor endoprostheses","volume":"126","author":"Hardes","year":"2006","journal-title":"Arch Orthop Trauma Surg."},{"issue":"7","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"1721","DOI":"10.1007\/s11999-009-0769-y","article-title":"Hip disarticulation for severe lower extremity infections","volume":"467","author":"Zalavras","year":"2009","journal-title":"Clin Orthop Relat Res."},{"issue":"8","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1177\/107110070602700806","article-title":"Necrotizing soft-tissue infection of a limb: clinical presentation and factors related to mortality","volume":"27","author":"Ozalay","year":"2006","journal-title":"Foot Ankle Int."},{"issue":"2","key":"bib10-20240805","first-page":"67","article-title":"Energy expenditure of ambulation in patients with above-knee amputations","volume":"56","author":"Traugh","year":"1975","journal-title":"Arch Phys Med Rehabil."},{"issue":"7","key":"bib11-20240805","first-page":"300","article-title":"Energy expenditure in hip disarticulation and hemipelvectomy amputees","volume":"64","author":"Nowroozi","year":"1983","journal-title":"Arch Phys Med Rehabil."},{"issue":"2","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1080\/03093640500217208","article-title":"Are Canadian prostheses used? 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