{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T18:38:29Z","timestamp":1786473509460,"version":"build-2736575974"},"reference-count":23,"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>\n                      A 22-month-old previously healthy woman developed chronic tibial osteomyelitis. Debridement uncovered a 10-cm wound with necrotic tibia, and cultures grew\n                      <jats:italic toggle=\"yes\">Proteus mirabilis<\/jats:italic>\n                      . Intravenous antibiotics transitioned to 6 weeks of oral therapy. Fibular tibialization was performed with K-wire fixation, followed by 2 weeks of postoperative antibiotics. Six-week radiographs showed early callus formation, and K-wires were removed. At the 1-year follow-up, she was fully healed with full knee and ankle range of motion and no pain.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Fibular tibialization is a viable salvage option for significant tibial bone loss when grafting or transport is unfeasible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.26.00173","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T18:00:26Z","timestamp":1786471226000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Chronic Osteomyelitis With Pathologic Tibia Fracture: Debridement and Fibular Tibialization in a Developing Country"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6668-2580","authenticated-orcid":false,"given":"G. 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