{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:49:56Z","timestamp":1787755796200,"version":"build-2784847793"},"reference-count":17,"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>We present a case of a 30-year-old man who sustained a traumatic transtibial amputation from a motorcycle accident. Owing to significant posterior tibial bone loss, an antibiotic spacer was used to preserve below-knee amputation level and avoid conversion to a transfemoral amputation. At 2.5 years postoperatively, the patient reported excellent function, full weight-bearing capacity, and no pain, with no further interventions pursued.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case highlights the novel use of an antibiotic spacer to lengthen a transtibial stump, demonstrating an effective salvage strategy that optimizes functional outcomes while avoiding the morbidity associated with higher-level amputation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00213","type":"journal-article","created":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T19:00:46Z","timestamp":1757098846000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["An Antibiotic Spacer May Be Used to Acquire Adequate Tibia Length for a Transtibial Amputation to Prevent the Need for a Transfemoral Amputation"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1381-2727","authenticated-orcid":false,"given":"Austin","family":"Bettridge","sequence":"first","affiliation":[{"name":"University of South Alabama, Mobile, Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1615-7714","authenticated-orcid":false,"given":"Hunter","family":"Moore","sequence":"additional","affiliation":[{"name":"University of South Alabama, Mobile, Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0058-8847","authenticated-orcid":false,"given":"Jeffrey","family":"Brewer","sequence":"additional","affiliation":[{"name":"University of South Alabama, Mobile, Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7]]},"reference":[{"issue":"4","key":"bib1-20251007","first-page":"787","article-title":"Antibiotic spacers in the management of infected knee replacements","volume":"476","author":"Karakov","year":"2018","journal-title":"Clin Orthop Relat Res."},{"issue":"1","key":"bib2-20251007","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."},{"issue":"3","key":"bib3-20251007","first-page":"505","article-title":"The role of antibiotic spacers in the management of infected joint replacements","volume":"86","author":"Berendt","year":"2004","journal-title":"J Bone Joint 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