{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:58:22Z","timestamp":1785437902550,"version":"3.56.0"},"reference-count":12,"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>A 56-year-old morbidly obese woman sustained a high energy motor vehicle collision resulting in an isolated Gustilo-Anderson type IIIA open pilon fracture of the right ankle, with massive distal tibial bone loss. Limb salvage was achieved through the novel use of an off-the-shelf axial titanium spine cage combined with a nonvascularized fibula autograft and hindfoot intramedullary nail arthrodesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This technique may offer a practical and durable alternative for limb salvage in cases of massive distal tibial bone loss, particularly in resource-constrained settings when access to custom 3D-printed implants or microvascular reconstruction is limited.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00696","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:01:54Z","timestamp":1785434514000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Novel Use of Axial Cage With Nonvascularized Fibula Autograft for 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