{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T04:19:34Z","timestamp":1775708374318,"version":"3.50.1"},"reference-count":12,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2021,9,10]],"date-time":"2021-09-10T00:00:00Z","timestamp":1631232000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Diaphyseal malunion poses a great challenge for the orthopedic surgeon, and an inundation of morbidity for the patient. Diaphyseal malunion can cause altered gait, adjacent joint osteoarthritis and body dissatisfaction. This problem is fraught with complications without surgical intervention. There is a myriad of options for the management of a diaphyseal malunion. The clamshell osteotomy was engendered to ameliorate the difficulty in managing this issue. This technique is a viable option to correct diaphyseal malunion about the femur and tibia. Recently, the indications of a clamshell osteotomy have been expanded to function as a derotational or shortening osteotomy.<\/jats:p>","DOI":"10.3390\/medicina57090951","type":"journal-article","created":{"date-parts":[[2021,9,10]],"date-time":"2021-09-10T10:31:34Z","timestamp":1631269894000},"page":"951","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The Clamshell Osteotomy for Diaphyseal Malunion in Deformity Correction and Fracture Surgery"],"prefix":"10.3390","volume":"57","author":[{"given":"Kevin F.","family":"Purcell","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery and Rehabilitation, University of Mississippi Medical Center, 2500 N State Street, Jackson, MS 39216, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George V.","family":"Russell","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Rehabilitation, University of Mississippi Medical Center, 2500 N State Street, Jackson, MS 39216, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew L.","family":"Graves","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Rehabilitation, University of Mississippi Medical Center, 2500 N State Street, Jackson, MS 39216, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,9,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1007\/s12178-014-9244-9","article-title":"Diaphyseal osteotomy after post-traumatic malalignment","volume":"7","author":"Santoro","year":"2014","journal-title":"Curr. 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Trauma"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"S61","DOI":"10.1016\/j.injury.2018.10.003","article-title":"Intramedullary nailing of tibial shaft fractures in the semi-extended position using a suprapatellar approach: A retrospective case series","volume":"49","author":"Cazzato","year":"2018","journal-title":"Injury"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1097\/00003086-199607000-00029","article-title":"Semiextended position of intramedullary nailing of the proximal tibia","volume":"328","author":"Tornetta","year":"1996","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_11","unstructured":"Raymond White, M.C. (2021, June 29). Approach to Intramedullary Nailing. 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