{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:38:33Z","timestamp":1787755113658,"version":"build-2784847793"},"reference-count":11,"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>Hardware complications in the perioperative period of a pilon fracture open reduction internal fixation or fusion procedure present a unique challenge. Revision of hardware can lead to additional complications. In this case report, we share a technique of in situ plate bending to manage damaged hardware in a patient who underwent a primary tibiotalar arthrodesis for a pilon fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Preoperative planning, protection of the soft tissue envelope, and use of the \u201cF\u201d tool are keys to the success of this treatment method. Proper technique allows for a noninvasive method for correcting hardware failure and avoiding further complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00275","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T19:00:54Z","timestamp":1770318054000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Management of a Pilon Fracture Complicated by a Bent Plate in Situ with Nonoperative Correction"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2353-3859","authenticated-orcid":false,"given":"Conner","family":"Roggy","sequence":"first","affiliation":[{"name":"Community Memorial Healthcare, Community Memorial Hospital, Ventura, California"},{"name":"Ventura County Medical Center, Ventura, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9712-2316","authenticated-orcid":false,"given":"Emily","family":"Benson","sequence":"additional","affiliation":[{"name":"Ventura County Medical Center, Ventura, California"},{"name":"Ventura County Orthopaedic Associates, Ventura, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"key":"bib1-20260205","first-page":"105","article-title":"The operative treatment of intra-articular fractures of the lower end of the tibia","volume":"138","author":"R\u00fcedi","year":"1979","journal-title":"Clin Orthop Relat Res."},{"issue":"4","key":"bib2-20260205","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1007\/s12178-018-9519-7","article-title":"Evolution in management of tibial pilon fractures","volume":"11","author":"Bear","year":"2018","journal-title":"Curr Rev Musculoskelet Med."},{"issue":"3","key":"bib3-20260205","doi-asserted-by":"crossref","first-page":"24730114231193391","DOI":"10.1177\/24730114231193391","article-title":"Republication of \u201cprimary ankle arthrodesis vs ORIF for severely comminuted pilon fractures: a comparative retrospective study","volume":"8","author":"Beckwitt","year":"2023","journal-title":"Foot Ankle Orthop."},{"issue":"12","key":"bib4-20260205","doi-asserted-by":"crossref","first-page":"3823","DOI":"10.1007\/s11999-014-3683-x","article-title":"Fracture reduction and primary ankle arthrodesis: a reliable approach for severely comminuted tibial pilon fracture","volume":"472","author":"Beaman","year":"2014","journal-title":"Clin Orthop Relat Res."},{"issue":"1","key":"bib5-20260205","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s00264-012-1716-1","article-title":"Clinical outcome and changes in gait pattern after pilon fractures","volume":"37","author":"Jansen","year":"2013","journal-title":"Int Orthop."},{"issue":"4","key":"bib6-20260205","doi-asserted-by":"crossref","first-page":"e043","DOI":"10.1097\/OI9.0000000000000043","article-title":"Long-term outcomes after operative treatment for tibial pilon fractures","volume":"2","author":"van der Vliet","year":"2019","journal-title":"OTA Int."},{"issue":"10","key":"bib7-20260205","doi-asserted-by":"crossref","first-page":"1893","DOI":"10.2106\/00004623-200310000-00005","article-title":"Outcomes after treatment of high-energy tibial plafond fractures","volume":"85","author":"Pollak","year":"2003","journal-title":"J Bone Joint Surg Am."},{"issue":"9","key":"bib8-20260205","doi-asserted-by":"crossref","first-page":"914","DOI":"10.3113\/FAI.2008.0914","article-title":"Ankle fusion for definitive management of non-reconstructable pilon fractures","volume":"29","author":"Bozic","year":"2008","journal-title":"Foot Ankle Int."},{"key":"bib9-20260205","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1097\/00003086-199307000-00013","article-title":"Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications","volume":"292","author":"Teeny","year":"1993","journal-title":"Clin Orthop Relat Res."},{"issue":"10","key":"bib10-20260205","doi-asserted-by":"crossref","first-page":"2896","DOI":"10.1016\/j.injury.2021.01.022","article-title":"Fatigue implications for bending orthopaedic plates","volume":"52","author":"Parr","year":"2021","journal-title":"Injury."},{"issue":"3","key":"bib11-20260205","doi-asserted-by":"crossref","first-page":"e25","DOI":"10.1097\/BOT.0b013e3181b2f70d","article-title":"Management of a trochanteric fracture complicated by a bent solid intramedullary femoral nail in situ: description of technique","volume":"24","author":"Stahel","year":"2010","journal-title":"J Orthop Trauma."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00275","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:37:41Z","timestamp":1787751461000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00275"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00275","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}