{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:40:01Z","timestamp":1787755201023,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","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>Two patients with cancer involving their proximal tibia required proximal tibial replacement (PTR). One had a soft-tissue sarcoma that involved her posterior cortex, and the other had extensive metaphyseal destruction from metastatic breast cancer. Their anterolateral cortex and tibial tubercle were uninvolved, permitting tubercle-sparing PTR. A plate was applied to the bone bridge in the latter patient in anticipation of radiotherapy. Both healed uneventfully and had minimal extensor lag 2 weeks postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Tubercle-sparing PTR preserves extensor mechanism function with minimal lag. It should be considered in patients with cancer when sparing the anterolateral cortex is oncologically safe.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00483","type":"journal-article","created":{"date-parts":[[2022,1,12]],"date-time":"2022-01-12T14:10:03Z","timestamp":1641996603000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Tubercle-Sparing Proximal Tibial Reconstruction in Patients with Primary and Metastatic Bone Disease"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5886-546X","authenticated-orcid":false,"given":"Mitchell S.","family":"Fourman","sequence":"first","affiliation":[{"name":"Orthopaedic Oncology Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2058-9556","authenticated-orcid":false,"given":"Duncan C.","family":"Ramsey","sequence":"additional","affiliation":[{"name":"Orthopaedic Oncology Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik T.","family":"Newman","sequence":"additional","affiliation":[{"name":"Orthopaedic Oncology Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4047-6818","authenticated-orcid":false,"given":"Marilyn","family":"Heng","sequence":"additional","affiliation":[{"name":"Orthopaedic Trauma Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin A.","family":"Raskin","sequence":"additional","affiliation":[{"name":"Orthopaedic Oncology Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0681-9004","authenticated-orcid":false,"given":"Santiago A.","family":"Lozano-Calderon","sequence":"additional","affiliation":[{"name":"Orthopaedic Oncology Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,1]]},"reference":[{"issue":"1","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.artd.2019.11.007","article-title":"Proximal tibial replacement in revision knee arthroplasty for non-oncologic indications","volume":"6","author":"Fram","year":"2020","journal-title":"Arthroplast Today."},{"issue":"3","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1007\/s11999-016-4843-y","article-title":"Proximal tibia reconstruction after bone tumor resection: are survivorship and outcomes of endoprosthetic replacement and osteoarticular allograft similar?","volume":"475","author":"Albergo","year":"2017","journal-title":"Clin Orthop Relat Res."},{"issue":"4","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1007\/s00402-010-1158-4","article-title":"Surgical options for reconstruction of the extensor mechanism of the knee after limb-sparing sarcoma surgery: an evidence-based review","volume":"131","author":"Ek","year":"2011","journal-title":"Arch Orthop Trauma Surg."},{"issue":"Suppl 6","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"S77","DOI":"10.1016\/S0020-1383(16)30843-9","article-title":"Reconstruction of patellar tendon following implantation of proximal tibia megaprosthesis for the treatment of post-traumatic septic bone defects","volume":"47","author":"Calori","year":"2016","journal-title":"Injury."},{"issue":"7","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1054\/arth.2001.25502","article-title":"Reconstruction of the extensor mechanism after proximal tibia endoprosthetic replacement","volume":"16","author":"Bickels","year":"2001","journal-title":"J Arthroplasty."},{"issue":"1","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1186\/s13018-019-1105-1","article-title":"The role of mesh technology with tumor prosthesis reconstruction to reconstruct the extensor mechanism of knee joint after resection of proximal tibial tumors","volume":"14","author":"Liu","year":"2019","journal-title":"J Orthop Surg Res."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00483","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:39:11Z","timestamp":1787751551000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00483"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":6,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.21.00483","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}