{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:35:39Z","timestamp":1787754939754,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2015,12,23]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We present the operative technique for turn-up plasty with a transtibial amputation in three patients with combat-related open tibial fractures who ultimately required amputation. Unaugmented amputation would have resulted in residual limbs of 7 cm; however, with use of the turn-up plasty technique, resultant limbs averaged 14 cm. All three patients achieved union at the osteosynthesis site and regular ambulation with a below-the-knee prosthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Transtibial turn-up plasty for length and level salvage is a sound option to provide robust, sensate soft-tissue coverage with additional osseous length when limb salvage fails and primary amputation would result in either an extremely short transtibial amputation or a more proximal level amputation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.o.00115","type":"journal-article","created":{"date-parts":[[2015,12,23]],"date-time":"2015-12-23T23:44:35Z","timestamp":1450914275000},"page":"e116","source":"Crossref","is-referenced-by-count":3,"title":["Turn-up Plasty for Salvage of Transtibial Amputations: An Illustrated Description of the Surgical Technique"],"prefix":"10.2106","volume":"5","author":[{"given":"Elizabeth M.","family":"Polfer","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, America Building (19), 2nd Floor, Bethesda, MD 20889."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin K.","family":"Potter","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, America Building (19), 2nd Floor, Bethesda, MD 20889."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"10 Spec No.","key":"bib1-20231015","doi-asserted-by":"crossref","first-page":"S205","DOI":"10.5435\/00124635-200600001-00044","article-title":"Factors influencing outcome following limb-threatening lower limb trauma: lessons learned from the Lower Extremity Assessment Project 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