{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:49:13Z","timestamp":1787755753008,"version":"build-2784847793"},"reference-count":23,"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>This is a rare case describing the management of a traumatic chylous effusion discovered during operative fixation of a Sanders type III calcaneus fracture in a 58-year-old man, sustained after a fall from height. Chylous effusions are uncommon and can mimic septic arthritis. Given the concern for possible infection intraoperatively, provisional K-wire\u2013assisted reduction was performed and definitively maintained through antibiotic mixed polymethylmethacrylate cement. Despite foregoing traditional fixation techniques, an excellent outcome was achieved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case outlines the use of antibiotic cement as a reduction aid for an intra-articular calcaneus fracture in the setting of a traumatic chylous effusion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00026","type":"journal-article","created":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T14:06:55Z","timestamp":1729260415000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Intra-articular Calcaneal Fracture Fixation Complicated by a Traumatic Chylous Effusion"],"prefix":"10.2106","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-3919-2582","authenticated-orcid":false,"given":"Benjamin","family":"Murray","sequence":"first","affiliation":[{"name":"Naval Aerospace Medical Institute, Pensacola, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2045-8222","authenticated-orcid":false,"given":"Karolina A.","family":"Serhan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7519-3981","authenticated-orcid":false,"given":"Bradley K.","family":"Deafenbaugh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5808-8840","authenticated-orcid":false,"given":"H. Corey","family":"Manson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10]]},"reference":[{"issue":"5","key":"bib1-20241018","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1097\/01.TA.0000124267.54630.0F","article-title":"Chylous knee effusion: is it septic arthritis? A case report and review of literature","volume":"57","author":"Soojian","year":"2004","journal-title":"J Trauma."},{"issue":"3","key":"bib2-20241018","first-page":"13","article-title":"Chylous Joint Effusion: a rare entity that mimics septic arthritis","volume":"2","author":"Borges","year":"2015","journal-title":"Case Rep Intern Med."},{"issue":"2","key":"bib3-20241018","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.knee.2010.02.009","article-title":"Post-traumatic chylous knee effusion","volume":"18","author":"Tahara","year":"2011","journal-title":"Knee."},{"issue":"9","key":"bib4-20241018","doi-asserted-by":"crossref","first-page":"1490","DOI":"10.3899\/jrheum.191050","article-title":"Posttraumatic chylous knee effusion","volume":"48","author":"de Boer","year":"2021","journal-title":"J Rheumatol."},{"issue":"11","key":"bib5-20241018","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1136\/ard.44.11.793","article-title":"Traumatic chylous knee effusion","volume":"44","author":"Reginato","year":"1985","journal-title":"Ann Rheum Dis."},{"issue":"11","key":"bib6-20241018","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1002\/art.1780281116","article-title":"Post-traumatic chylous joint effusion","volume":"28","author":"White","year":"1985","journal-title":"Arthritis Rheum."},{"issue":"2","key":"bib7-20241018","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1097\/CORR.0000000000000539","article-title":"Classifications in brief: Sanders classification of intraarticular fractures of the calcaneus","volume":"477","author":"Jim\u00e9nez-Almonte","year":"2019","journal-title":"Clin Orthop Relat Res."},{"issue":"290","key":"bib8-20241018","first-page":"87","article-title":"Operative treatment in 120 displaced intraarticular calcaneal fractures. Results using a prognostic computed tomography scan classification","volume":"290","author":"Sanders","year":"1993","journal-title":"Clin Orthopaedics Relat Res."},{"issue":"10","key":"bib9-20241018","doi-asserted-by":"crossref","first-page":"1733","DOI":"10.2106\/00004623-200210000-00001","article-title":"Operative compared with nonoperative treatment of displaced intra-articular calcaneal fractures: a prospective, randomized, controlled multicenter trial","volume":"84","author":"Buckley","year":"2002","journal-title":"J Bone Joint Surg Am."},{"issue":"2","key":"bib10-20241018","doi-asserted-by":"crossref","first-page":"225","DOI":"10.2106\/00004623-200002000-00009","article-title":"Displaced intra-articular fractures of the calcaneus","volume":"82","author":"Sanders","year":"2000","journal-title":"J Bone Joint Surg Am."},{"issue":"12","key":"bib11-20241018","doi-asserted-by":"crossref","first-page":"1689","DOI":"10.1177\/1071100713510267","article-title":"Limited sinus tarsi approach for intra-articular calcaneus fractures","volume":"34","author":"Kikuchi","year":"2013","journal-title":"Foot Ankle Int."},{"issue":"6","key":"bib12-20241018","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1097\/BOT.0000000000000819","article-title":"Similar anatomical reduction and lower complication rates with the sinus tarsi approach compared with the extended lateral approach in displaced intra-articular calcaneal fractures","volume":"31","author":"Schepers","year":"2017","journal-title":"J Orthop Trauma."},{"key":"bib13-20241018","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/0002-9343(65)90170-1","article-title":"Chylous synovial effusion in rheumatoid arthritis. Clinical and pathogenetic significance","volume":"38","author":"Newcombe","year":"1965","journal-title":"Am J Med."},{"issue":"6","key":"bib14-20241018","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1002\/art.1780160609","article-title":"Clinical conference: lipid synovial effusion. Unique occurrence in systemic lupus erythematosus","volume":"16","author":"Ryan","year":"1973","journal-title":"Arthritis Rheum."},{"issue":"5596","key":"bib15-20241018","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1136\/bmj.2.5596.27","article-title":"Chylous arthritis","volume":"2","author":"Das","year":"1968","journal-title":"Br Med J."},{"issue":"5","key":"bib16-20241018","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1002\/art.1780220517","article-title":"Synovial fat necrosis associated with ischemic pancreatic disease","volume":"22","author":"Smukler","year":"1979","journal-title":"Arthritis Rheum."},{"key":"bib17-20241018","first-page":"292","article-title":"Lipid composition of the tissues of human knee joints. II. Synovial fluid in trauma","volume":"190","author":"Rabinowitz","year":"1984","journal-title":"Clin Orthopaedics Relat Res."},{"issue":"1","key":"bib18-20241018","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.ultrasmedbio.2017.09.017","article-title":"Sonographic and anatomic description of the subtalar joint","volume":"44","author":"Mandl","year":"2018","journal-title":"Ultrasound Med Biol."},{"issue":"5","key":"bib19-20241018","doi-asserted-by":"crossref","first-page":"439","DOI":"10.3113\/FAI-2009-0439","article-title":"Variability of joint communications in the foot and ankle demonstrated by contrast-enhanced diagnostic injections","volume":"30","author":"Carmont","year":"2009","journal-title":"Foot Ankle Int."},{"issue":"1","key":"bib20-20241018","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1186\/s10195-021-00614-7","article-title":"Antibiotic cement coating in orthopedic surgery: a systematic review of reported clinical techniques","volume":"22","author":"Ismat","year":"2021","journal-title":"J Orthop Traumatol."},{"issue":"3","key":"bib21-20241018","doi-asserted-by":"crossref","first-page":"213","DOI":"10.3113\/FAI.2012.0213","article-title":"Antibiotic impregnated cement spacer for salvage of diabetic osteomyelitis","volume":"33","author":"Melamed","year":"2012","journal-title":"Foot Ankle Int."},{"key":"bib22-20241018","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1097\/00003086-200202000-00004","article-title":"Use of injectable calcium phosphate cement for fracture fixation: a review","volume":"395","author":"Larsson","year":"2002","journal-title":"Clin Orthopaedics Relat Res."},{"issue":"5","key":"bib23-20241018","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1053\/j.jfas.2005.07.003","article-title":"Augmentation of intraarticular calcaneal fractures with injectable calcium phosphate cement: densitometry, histology, and functional outcome of 18 patients","volume":"44","author":"Elsner","year":"2005","journal-title":"J Foot Ankle Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:51:08Z","timestamp":1787752268000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00026"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":23,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.24.00026","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}