{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:30:23Z","timestamp":1787754623233,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2016,3,23]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A twenty-eight-year-old man presented with a Pipkin type-III femoral head fracture and open floating knee injury. Initially debridement was performed, during which the extensor apparatus could not be salvaged. The top priority in management of the floating knee was achievement of adequate soft-tissue coverage followed by skeletal stabilization as staged procedures. Because the femoral head was split, dislocated, comminuted, and deemed nonreconstructible, arthroplasty was considered the best option. The extensor mechanism damage was addressed by reconstruction using an iliotibial tract flap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case report is presented for its uniqueness, the management protocol, and the difficulties encountered during the multistage treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.o.00110","type":"journal-article","created":{"date-parts":[[2016,3,24]],"date-time":"2016-03-24T00:38:12Z","timestamp":1458779892000},"page":"e19","source":"Crossref","is-referenced-by-count":1,"title":["Management of Pipkin Type-III Femoral Head Fracture and Ipsilateral Open Floating Knee with Extensor Apparatus Injury"],"prefix":"10.2106","volume":"6","author":[{"given":"V.","family":"Singaravadivelu","sequence":"first","affiliation":[{"name":"Institute of Orthopaedics and Traumatology (V.S., K.C.B.) and Department of Plastic and Reconstructive Surgery (T.M.B., J.J.L.), Madras Medical College and Rajiv Gandhi Government General Hospital, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keerthy Chandra","family":"Bassetty","sequence":"additional","affiliation":[{"name":"Institute of Orthopaedics and Traumatology (V.S., K.C.B.) and Department of Plastic and Reconstructive Surgery (T.M.B., J.J.L.), Madras Medical College and Rajiv Gandhi Government General Hospital, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.M.","family":"Balakrishnan","sequence":"additional","affiliation":[{"name":"Institute of Orthopaedics and Traumatology (V.S., K.C.B.) and Department of Plastic and Reconstructive Surgery (T.M.B., J.J.L.), Madras Medical College and Rajiv Gandhi Government General Hospital, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.J.","family":"Lankaram","sequence":"additional","affiliation":[{"name":"Institute of Orthopaedics and Traumatology (V.S., K.C.B.) and Department of Plastic and Reconstructive Surgery (T.M.B., J.J.L.), Madras Medical College and Rajiv Gandhi Government General Hospital, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"4","key":"bib1-20230811","doi-asserted-by":"crossref","first-page":"453","DOI":"10.2106\/00004623-197658040-00004","article-title":"Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses","volume":"58","author":"Gustilo","year":"1976","journal-title":"J Bone Joint Surg Am."},{"issue":"10 Suppl","key":"bib2-20230811","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/00005131-200711101-00001","article-title":"Fracture and dislocation classification compendium \u2013 2007: Orthopaedic Trauma Association Classification, Database and Outcomes Committee","volume":"21","author":"Marsh","year":"2007","journal-title":"J Orthop Trauma."},{"issue":"4","key":"bib3-20230811","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1302\/0301-620X.60B4.711798","article-title":"Ipsilateral fracture of the femur and tibia","volume":"60-B","author":"Fraser","year":"1978","journal-title":"J Bone Joint Surg Br."},{"issue":"4","key":"bib4-20230811","doi-asserted-by":"crossref","first-page":"238","DOI":"10.5435\/00124635-200107000-00003","article-title":"\u201cFloating knee\u201d injuries: ipsilateral fractures of the femur and tibia","volume":"9","author":"Lundy","year":"2001","journal-title":"J Am Acad Orthop Surg."},{"issue":"1","key":"bib5-20230811","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s002640000209","article-title":"Femoral head fractures","volume":"25","author":"Mostafa","year":"2001","journal-title":"Int Orthop."},{"key":"bib6-20230811","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1097\/00003086-200008000-00008","article-title":"Functional outcome of patients with femoral head fractures associated with hip dislocations","volume":"377","author":"Stannard","year":"2000","journal-title":"Clin Orthop Relat Res."},{"issue":"4","key":"bib7-20230811","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1080\/000164701753541998","article-title":"Clinical and radiographic outcome of femoral head fractures: 30 patients followed for 3-10 years","volume":"72","author":"Yoon","year":"2001","journal-title":"Acta Orthop Scand."},{"key":"bib8-20230811","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1097\/00003086-198512000-00002","article-title":"Posterior fracture dislocation of the hip with fractures of the femoral head","volume":"201","author":"Epstein","year":"1985","journal-title":"Clin Orthop Relat Res."},{"issue":"2","key":"bib9-20230811","doi-asserted-by":"crossref","first-page":"233","DOI":"10.2106\/00004623-198870020-00011","article-title":"Traumatic posterior fracture-dislocation of the hip with fracture of the femoral head or neck, or both","volume":"70","author":"Hougaard","year":"1988","journal-title":"J Bone Joint Surg Am."},{"issue":"8","key":"bib10-20230811","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1302\/0301-620X.83B8.0831119","article-title":"Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis","volume":"83","author":"Ganz","year":"2001","journal-title":"J Bone Joint Surg Br."},{"issue":"7","key":"bib11-20230811","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1097\/00005131-199610000-00002","article-title":"Intermediate-term experience of Pipkin fracture-dislocations of the hip","volume":"10","author":"Marchetti","year":"1996","journal-title":"J Orthop Trauma."},{"issue":"10","key":"bib12-20230811","doi-asserted-by":"crossref","first-page":"2662","DOI":"10.1007\/s11999-009-0735-8","article-title":"Reconstruction of complete knee extensor mechanism loss with gastrocnemius flaps","volume":"467","author":"Jepegnanam","year":"2009","journal-title":"Clin Orthop Relat Res."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709767-201606010-00019","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:30:12Z","timestamp":1787751012000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709767-201606010-00019"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2016,3,23]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.o.00110","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,3,23]]}}}