{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:06Z","timestamp":1787755386184,"version":"build-2784847793"},"reference-count":13,"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>A 14-year-old adolescent girl sustained an open fracture of the foot after jumping off a building. Initial radiographs revealed large bone defect in the distal metaphysis of the comminuted tibia. The comminuted distal tibia was reconstructed by external fixation and internal fixation with bridge plating, followed by the Masquelet technique. After 12 months, the fracture healed without infection, and the patient could walk independently.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In the case of a comminuted fracture of the contaminated distal tibia with a large bone defect, plate fixation and the Masquelet technique produced good outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00397","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T19:58:12Z","timestamp":1673639892000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Preserving the Ankle by the Masquelet Technique for the Large Bone Defect in the Distal Tibia in Children"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8190-7584","authenticated-orcid":false,"given":"Kohjiroh","family":"Imoto","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Honda","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9685-2299","authenticated-orcid":false,"given":"Takuya","family":"Shiroshita","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Okamura","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2736-9831","authenticated-orcid":false,"given":"Yoichi","family":"Hayashida","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiro","family":"Okada","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiko","family":"Miyamoto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,1]]},"reference":[{"issue":"1","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.ocl.2009.07.011","article-title":"The concept of induced membrane for reconstruction of long bone defects","volume":"41","author":"Masquelet","year":"2010","journal-title":"Orthop Clin North Am."},{"key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.3389\/fmicb.2019.01626","article-title":"Antibiotic-loaded polymethylmethacrylate beads and spacers in treatment of orthopedic infections and the role of biofilm formation","volume":"10","author":"van Vugt","year":"2019","journal-title":"Front Microbiol."},{"issue":"6","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1302\/0301-620X.77B6.7593104","article-title":"Tibial fractures with bone loss treated by primary reamed intramedullary nailing","volume":"77-B","author":"Robinson","year":"1995","journal-title":"J Bone Joint Surg Br."},{"issue":"5","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1302\/0301-620X.77B5.7559711","article-title":"Distal metaphyseal fractures of the tibia with minimal involvement of the ankle. 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