Consideration for Limb Salvage in Place of Amputation in Complex Tibial Fracture With Neurovascular Injury: A Case Report.

Deana M Mercer, Hoang M Nguyen, William Curtis, John J Heifner, David H Chafey

Open access · greenAbstract readCase Reports

In one paragraph

Article in The Iowa orthopaedic journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

0.2field-weighted citation impact, top 37% of its field

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

Damage control strategy in peripheral vascular injury caused by firearm: A case report.Medicine international
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Deana M MercerDepartment of Orthopaedics & Rehabilitation, University of New Mexico, Albuquerque, New Mexico, USA.

Hoang M NguyenDepartment of Orthopaedics & Rehabilitation, University of New Mexico, Albuquerque, New Mexico, USA.

William CurtisDepartment of Orthopaedics & Rehabilitation, University of New Mexico, Albuquerque, New Mexico, USA.

John J HeifnerMiami Orthopaedic Research Foundation, Miami, Florida, USA.

David H ChafeyDepartment of Orthopaedics & Rehabilitation, University of New Mexico, Albuquerque, New Mexico, USA.

University of New Mexico · USOrthopaedic Research Foundation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-energy tibial fractures often present with associated soft tissue injuries, including neuro-vascular damage, complicating the treatment decision. A 33-year-old male presented with Gustilo Anderson type IIIA fracture of the left distal tibia and fibula with associated closed calcaneus fracture and tibial nerve transection. Amputation was discussed, but the decision was made for limb salvage with nerve allograft. The patient displayed satisfactory functional recovery at 29 months postoperatively without need for major revision, grafting, arthrodesis, or amputation. This case report provides an example of successful limb salvage utilizing tibial nerve allograft in a complex high-energy lower extremity injury. Level of Evidence: IV.

Indexed as

Fractures, OpenTibial FracturesVascular System InjuriesAdultAmputation, SurgicalFibulaHumansLimb SalvageMaleRetrospective StudiesTibiaTreatment Outcomelimb salvagelower extremity traumaneurovascular injuryopen tibial fractureperipheral nerve allografttibial nerve injury

Identifiers

PMID38213861

PMCPMC10777692

OpenAlexW4390795366

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.