{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:41:57Z","timestamp":1787755317159,"version":"build-2784847793"},"reference-count":27,"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 17-year-old boy presented with an open talus fracture complicated by soot contamination after a chimney-related accident. Standard irrigation and debridement (I&amp;D) methods were used, but complete removal of soot was not possible. At the latest follow-up, there was no evidence of infection, hardware failure, or avascular necrosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is a lack of well-established guidelines regarding I&amp;D of traumatic wounds contaminated with fine particulates. A review of potential debridement methods is discussed. Orthoapedic surgeons should be aware of hydrosurgical debridement as a potential treatment approach in these unique scenarios.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00517","type":"journal-article","created":{"date-parts":[[2023,1,27]],"date-time":"2023-01-27T19:47:19Z","timestamp":1674848839000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Soot-Embedded Extruded Talus Fracture After a 5-Story Fall"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7884-5749","authenticated-orcid":false,"given":"Priscilla","family":"Varghese","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Maimonides Medical Center, Brooklyn, New York"},{"name":"College of Medicine, State University of New York (SUNY) Downstate, Brooklyn, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1750-0530","authenticated-orcid":false,"given":"Aaron","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Maimonides Medical Center, Brooklyn, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Richardson","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Maimonides Medical Center, Brooklyn, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin K.","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Maimonides Medical Center, Brooklyn, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,1]]},"reference":[{"key":"bib1-20240731","doi-asserted-by":"crossref","first-page":"S7","DOI":"10.1097\/BOT.0000000000000671","article-title":"Debridement and irrigation: evolution and current recommendations","volume":"30","author":"Erdle","year":"2016","journal-title":"J Orthopaedic Trauma."},{"key":"bib2-20240731","doi-asserted-by":"crossref","first-page":"1801","DOI":"10.1351\/pac200779101801","article-title":"Definitions of terms relating to the structure and processing of sols, gels, networks, and inorganic-organic hybrid materials (IUPAC recommendations 2007)","volume":"79","author":"Alem\u00e1n","year":"2007","journal-title":"Pure Appl Chem."},{"key":"bib3-20240731","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/S0379-0738(98)00151-0","article-title":"Fatalities from black powder percussion handguns","volume":"98","author":"Karger","year":"1998","journal-title":"Forensic Sci Int."},{"key":"bib4-20240731","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1302\/0301-620X.89B5.19286","article-title":"Irrigation of the wounds in open fractures","volume":"89-B","author":"Crowley","year":"2007","journal-title":"J Bone Joint Surg Br Vol."},{"key":"bib6-20240731","first-page":"218","article-title":"Carbon black and soot: two different substances","volume":"62","author":"Watson","year":"2001","journal-title":"Am Ind Hyg Assoc."},{"key":"bib8-20240731","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1016\/0008-6223(82)90084-7","article-title":"Particulate carbon and other components of soot and carbon black","volume":"20","author":"Medalia","year":"1982","journal-title":"Carbon."},{"key":"bib9-20240731","doi-asserted-by":"crossref","first-page":"12470","DOI":"10.1021\/acsnano.0c06226","article-title":"A review of terminology used to describe soot formation and evolution under combustion and pyrolytic conditions","volume":"14","author":"Michelsen","year":"2020","journal-title":"ACS Nano."},{"key":"bib10-20240731","first-page":"596","article-title":"Fluid lavage of open wounds (FLOW): a multicenter, blinded, factorial pilot trial comparing alternative irrigating solutions and pressures in patients with open fractures","volume":"71","author":"Petrisor","year":"2011","journal-title":"J Trauma."},{"key":"bib11-20240731","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.arth.2006.02.078","article-title":"How much sterile saline should be used for efficient lavage during total knee arthroplasty? 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