{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:46Z","timestamp":1787755846079,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","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 case discusses the reimplantation of a comminuted osteochondral fracture of the lateral talar dome with 1 large extruded fragment in a 19-year-old man after a low-energy motor vehicle accident. The fragment transport and decontamination protocols are detailed and the patient\u2019s return to full, pain-free range of motion at 18-month follow-up with no radiographic signs of arthritis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>To our knowledge, this is the only case describing reimplantation of an extruded osteochondral fracture fragment that also provides a surgical technique and anticipatory guidance for patients and providers in regard to short-term postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00553","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T14:03:09Z","timestamp":1750341789000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["The Case of the Talus that Lived in a Shoe"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5450-4576","authenticated-orcid":false,"given":"Vaibhav R.","family":"Tadepalli","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, University of Virginia, Charlottesville, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1529-442X","authenticated-orcid":false,"given":"Kathryn","family":"Schultz","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of Virginia, Charlottesville, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9397-1108","authenticated-orcid":false,"given":"Ariaz","family":"Goudarzi","sequence":"additional","affiliation":[{"name":"University of Virginia, School of Medicine, Charlottesville, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8221-0268","authenticated-orcid":false,"given":"David B.","family":"Weiss","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma, Department of Orthopedic Surgery, University of Virginia, Charlottesville, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4]]},"reference":[{"issue":"pt 2","key":"bib1-20250619","doi-asserted-by":"crossref","first-page":"180","DOI":"10.2106\/00004623-200409001-00008","article-title":"Surgical treatment of talar body fractures","volume":"86-A Suppl 1","author":"Vallier","year":"2004","journal-title":"J Bone Joint Surg Am."},{"key":"bib2-20250619","first-page":"e921823-1","article-title":"Finite element analysis of the effect of talar osteochondral defects of different depths on ankle joint stability","volume":"26","author":"Li","year":"2020","journal-title":"Med Sci Monit."},{"issue":"11","key":"bib3-20250619","first-page":"2418","article-title":"The extruded talus: results of reimplantation","volume":"88","author":"Smith","year":"2006","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"bib4-20250619","doi-asserted-by":"crossref","first-page":"439","DOI":"10.2106\/JBJS.J.00418","article-title":"A comparison of five treatment protocols for contaminated bone grafts in reference to sterility and cell viability","volume":"93","author":"Bauer","year":"2011","journal-title":"J Bone Joint Surg Am."},{"issue":"4","key":"bib5-20250619","first-page":"167","article-title":"Contaminated osteochondral plugs: effect of different sterilizing solutions: an experimental study in the rabbit","volume":"26","author":"Yazdi","year":"2012","journal-title":"Med J Islam Repub Iran."},{"issue":"6","key":"bib6-20250619","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1016\/j.arth.2013.02.018","article-title":"Deleterious effects of diluted povidone\u2013iodine on articular cartilage","volume":"28","author":"von Keudell","year":"2013","journal-title":"J Arthroplasty."},{"issue":"1","key":"bib7-20250619","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.5435\/JAAOS-D-22-00792","article-title":"AAOS clinical practice guideline summary: prevention of surgical site infection after major extremity trauma","volume":"31","author":"Goldman","year":"2023","journal-title":"J Am Acad Orthop Surg."},{"issue":"4","key":"bib8-20250619","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1177\/0363546513519950","article-title":"Salvage of contaminated osteochondral allografts: the effects of chlorhexidine on human articular chondrocyte viability","volume":"42","author":"Campbell","year":"2014","journal-title":"Am J Sports Med."},{"issue":"1","key":"bib9-20250619","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1002\/jor.22998","article-title":"Osteochondral allograft transplantation in cartilage repair: graft storage paradigm, translational models, and clinical applications","volume":"34","author":"Bugbee","year":"2016","journal-title":"J Orthop Res."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00553","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:51:04Z","timestamp":1787752264000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00553"}},"subtitle":["Sterilization and Reimplantation of a Large Extruded Talar Osteochondral Fracture Fragment with 18-Month Follow-Up"],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.24.00553","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]}}}