{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:59Z","timestamp":1787755199176,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","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>An 8-year-old boy underwent open reduction and internal fixation for pelvic and femoral fractures following a crush injury. At nine months postoperatively, computed tomography demonstrated a triradiate physeal bar contralateral to operated hemipelvis. A navigated physeal bar excision with O-arm navigation and low-dose radiation protocol was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Triradiate bar excision presents a technically challenging procedure that may be offset by O-arm navigation utilization, which provides accurate, real-time imaging that facilitates complete physeal bar excision while mitigating risk of damage to surrounding structures. Our low-dose protocol yielded a total exposure of 0.914 mSv, comparable with 1.5 pelvic radiographs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00177","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T18:00:36Z","timestamp":1753380036000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Post-traumatic Triradiate Cartilage Physeal Bar Excision with 3D Navigation"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1912-7768","authenticated-orcid":false,"given":"Emil","family":"Varas-Rodriguez","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0175-1095","authenticated-orcid":false,"given":"Brandon J.","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9950-3668","authenticated-orcid":false,"given":"Todd A.","family":"Milbrandt","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2528-317X","authenticated-orcid":false,"given":"Emmanouil","family":"Grigoriou","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7]]},"reference":[{"issue":"8","key":"bib1-20250724","doi-asserted-by":"crossref","first-page":"111700","DOI":"10.1016\/j.injury.2024.111700","article-title":"Epidemiology and patient-reported measurement outcome of pelvic fractures in children and adolescents - a population-based cohort study from the Swedish fracture register","volume":"55","author":"Hailer","year":"2024","journal-title":"Injury."},{"issue":"9","key":"bib2-20250724","doi-asserted-by":"crossref","first-page":"353","DOI":"10.5435\/JAAOS-D-19-00082","article-title":"High-energy fractures of the pelvis and acetabulum in pediatric patients","volume":"28","author":"Galos","year":"2020","journal-title":"J Am Acad Orthop Surg."},{"issue":"1","key":"bib3-20250724","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1186\/s12891-021-04565-2","article-title":"Retrospective analysis of traumatic triradiate cartilage injury in children","volume":"22","author":"Dong","year":"2021","journal-title":"BMC Musculoskelet Disord."},{"issue":"1","key":"bib4-20250724","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1097\/01241398-200401000-00023","article-title":"Current issues: pediatric pelvic fractures","volume":"24","author":"Smith","year":"2004","journal-title":"J Pediatr Orthop."},{"issue":"6","key":"bib5-20250724","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1097\/01241398-200211000-00002","article-title":"Physeal fractures, part I: histologic features of bone, cartilage, and bar formation in a small animal model","volume":"22","author":"Wattenbarger","year":"2002","journal-title":"J Pediatr Orthop."},{"key":"bib6-20250724","first-page":"28","article-title":"Pelvic polyfractures in children. Radiographic diagnosis and treatment","volume":"320","author":"Keshishyan","year":"1995","journal-title":"Clin Orthop Relat Res."},{"key":"bib7-20250724","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1097\/00003086-199408000-00016","article-title":"Posttraumatic acetabular dysplasia","volume":"305","author":"Trousdale","year":"1994","journal-title":"Clin Orthop Relat Res."},{"issue":"11","key":"bib8-20250724","doi-asserted-by":"crossref","first-page":"3701","DOI":"10.1007\/s11999-013-3054-z","article-title":"Case reports: treatment of traumatic triradiate cartilage epiphysiodesis: what is the role of bridge resection?","volume":"471","author":"Badina","year":"2013","journal-title":"Clin Orthop Relat Res."},{"issue":"6","key":"bib9-20250724","doi-asserted-by":"crossref","first-page":"e422","DOI":"10.1097\/BPO.0000000000001349","article-title":"Excision of physeal bars of the distal femur, proximal and distal tibia followed to maturity","volume":"39","author":"Yuan","year":"2019","journal-title":"J Pediatr Orthop."},{"issue":"5","key":"bib10-20250724","doi-asserted-by":"crossref","first-page":"767","DOI":"10.2106\/00004623-199705000-00019","article-title":"Premature partial closure of the triradiate cartilage treated with excision of a physical osseous bar. Case report with a fourteen-year follow-up","volume":"79","author":"Peterson","year":"1997","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"bib11-20250724","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1097\/BPO.0000000000000504","article-title":"Switching to a pediatric dose O-arm protocol in spine surgery significantly reduced patient radiation exposure","volume":"36","author":"Su","year":"2016","journal-title":"J Pediatr Orthop."},{"issue":"3","key":"bib12-20250724","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1097\/BPO.0000000000000608","article-title":"How does patient radiation exposure compare with low-dose O-arm versus fluoroscopy for pedicle screw placement in idiopathic scoliosis?","volume":"37","author":"Su","year":"2017","journal-title":"J Pediatr Orthop."},{"issue":"1","key":"bib13-20250724","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.jor.2018.11.001","article-title":"Late acetabular dysplasia after successful treatment for developmental dysplasia of the hip using the Pavlik method: a systematic literature review","volume":"16","author":"Shaw","year":"2019","journal-title":"J Orthop."},{"issue":"1","key":"bib14-20250724","doi-asserted-by":"crossref","first-page":"14052","DOI":"10.1038\/s41598-024-64875-y","article-title":"The efficacy of physeal bar resection with guided growth in the treatment of physeal arrest with angular limb deformity","volume":"14","author":"Alhassan","year":"2024","journal-title":"Sci Rep."},{"issue":"1","key":"bib15-20250724","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1148\/radiol.2481071451","article-title":"Effective doses in radiology and diagnostic nuclear medicine: a catalog","volume":"248","author":"Mettler","year":"2008","journal-title":"Radiology."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00177","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:39:04Z","timestamp":1787751544000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00177"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":15,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00177","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]}}}