{"id":"https://openalex.org/W2999813402","doi":"https://doi.org/10.1097/bot.0000000000001738","title":"Plate-Assisted Intramedullary Nailing of Gustilo Type IIIB Open Tibial Diaphyseal Fractures: Does Adjunctive Plate Retention Affect Complication Rate?","display_name":"Plate-Assisted Intramedullary Nailing of Gustilo Type IIIB Open Tibial Diaphyseal Fractures: Does Adjunctive Plate Retention Affect Complication Rate?","publication_year":2020,"publication_date":"2020-01-16","ids":{"openalex":"https://openalex.org/W2999813402","doi":"https://doi.org/10.1097/bot.0000000000001738","mag":"2999813402","pmid":"https://pubmed.ncbi.nlm.nih.gov/31972709"},"language":"en","primary_location":{"id":"doi:10.1097/bot.0000000000001738","doi":"https://doi.org/10.1097/bot.0000000000001738","is_oa":false,"landing_page_url":"https://doi.org/10.1097/bot.0000000000001738","pdf_url":null,"source":{"id":"https://openalex.org/S65618785","display_name":"Journal of Orthopaedic Trauma","issn_l":"0890-5339","issn":["0890-5339","1531-2291"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Trauma","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W2999813402"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://research-information.bris.ac.uk/en/publications/139014d8-b06f-4d36-9c1a-cc84dd8197d6","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070836116","display_name":"Michael Thomas Stoddart","orcid":"https://orcid.org/0000-0001-7346-324X","observed_orcids":["https://orcid.org/0000-0001-7346-324X"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Michael T. Stoddart","raw_affiliation_strings":["Orthopaedic Surgery; and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedic Surgery; and","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067008267","display_name":"Khalid Al-Hourani","orcid":"https://orcid.org/0000-0001-7606-2716","observed_orcids":["https://orcid.org/0000-0001-7606-2716"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Khalid Al-Hourani","raw_affiliation_strings":["Orthopaedic Surgery; and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedic Surgery; and","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Tim Fowler","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tim Fowler","raw_affiliation_strings":["Orthopaedic Surgery; and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedic Surgery; and","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109056763","display_name":"Umraz Khan","orcid":"https://orcid.org/0000-0002-6280-1837","observed_orcids":["https://orcid.org/0000-0002-6280-1837"]},"institutions":[{"id":"https://openalex.org/I2801253297","display_name":"Southmead Hospital","ror":"https://ror.org/05d576879","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801253297","https://openalex.org/I4405276282"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Umraz Khan","raw_affiliation_strings":["Plastic Surgery, Southmead Hospital, Bristol, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Plastic Surgery, Southmead Hospital, Bristol, United Kingdom","institution_ids":["https://openalex.org/I2801253297"]}]},{"author_position":"last","author":{"id":null,"display_name":"Michael B. Kelly","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Michael B. Kelly","raw_affiliation_strings":["Orthopaedic Surgery; and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedic Surgery; and","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5070836116"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.3504,"has_fulltext":true,"cited_by_count":15,"citation_normalized_percentile":{"value":0.91414473,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":91,"max":99},"biblio":{"volume":"34","issue":"7","first_page":"363","last_page":"369"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11293","display_name":"Orthopedic Infections and Treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/intramedullary-nailing","display_name":"intramedullary nailing","score":0.9269999861717224},{"id":"https://openalex.org/keywords/nonunion","display_name":"nonunion","score":0.625},{"id":"https://openalex.org/keywords/deep-infection","display_name":"deep infection","score":0.9610000252723694},{"id":"https://openalex.org/keywords/reoperation","display_name":"reoperation","score":0.7139999866485596},{"id":"https://openalex.org/keywords/fracture-fixation-complications","display_name":"fracture fixation complications","score":0.5740000009536743},{"id":"https://openalex.org/keywords/wound-debridement","display_name":"wound debridement","score":0.6859999895095825},{"id":"https://openalex.org/keywords/tibial-shaft-fractures","display_name":"tibial shaft fractures","score":0.5109999775886536}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9591488838195801},{"id":"https://openalex.org/C92162645","wikidata":"https://www.wikidata.org/wiki/Q655955","display_name":"Intramedullary rod","level":2,"score":0.9432250261306763},{"id":"https://openalex.org/C2779330695","wikidata":"https://www.wikidata.org/wiki/Q7049641","display_name":"Nonunion","level":2,"score":0.8186064958572388},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7863041162490845},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.5762804746627808},{"id":"https://openalex.org/C2777236700","wikidata":"https://www.wikidata.org/wiki/Q178366","display_name":"Tibia","level":2,"score":0.5356670618057251},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.4916897416114807},{"id":"https://openalex.org/C2779779000","wikidata":"https://www.wikidata.org/wiki/Q25036443","display_name":"Malunion","level":3,"score":0.4513288736343384},{"id":"https://openalex.org/C8337478","wikidata":"https://www.wikidata.org/wiki/Q1777289","display_name":"Bone healing","level":2,"score":0.43343573808670044},{"id":"https://openalex.org/C2910052784","wikidata":"https://www.wikidata.org/wiki/Q6027402","display_name":"Tibia Fracture","level":3,"score":0.4175414443016052},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.08192989230155945},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D005594","descriptor_name":"Fracture Fixation, Intramedullary","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D005597","descriptor_name":"Fractures, Open","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D005597","descriptor_name":"Fractures, Open","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013977","descriptor_name":"Tibia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013978","descriptor_name":"Tibial Fractures","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D013978","descriptor_name":"Tibial Fractures","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1097/bot.0000000000001738","doi":"https://doi.org/10.1097/bot.0000000000001738","is_oa":false,"landing_page_url":"https://doi.org/10.1097/bot.0000000000001738","pdf_url":null,"source":{"id":"https://openalex.org/S65618785","display_name":"Journal of Orthopaedic Trauma","issn_l":"0890-5339","issn":["0890-5339","1531-2291"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Trauma","raw_type":"journal-article"},{"id":"pmid:31972709","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31972709","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of orthopaedic trauma","raw_type":"Journal Article"},{"id":"pmh:oai:research-information.bris.ac.uk:openaire/139014d8-b06f-4d36-9c1a-cc84dd8197d6","doi":null,"is_oa":true,"landing_page_url":"https://research-information.bris.ac.uk/en/publications/139014d8-b06f-4d36-9c1a-cc84dd8197d6","pdf_url":null,"source":{"id":"https://openalex.org/S7407055359","display_name":"Explore Bristol Research","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Stoddart, M, Al-Hourani, K, Fowler, T J, Khan, U & Kelly, M 2020, 'Plate assisted intramedullary nailing of Gustilo type IIIB open tibial diaphyseal fractures : Does adjunctive plate retention affect complication rate?', Journal of Orthopaedic Trauma. https://doi.org/10.1097/BOT.0000000000001738","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"pmh:oai:research-information.bris.ac.uk:openaire/139014d8-b06f-4d36-9c1a-cc84dd8197d6","doi":null,"is_oa":true,"landing_page_url":"https://research-information.bris.ac.uk/en/publications/139014d8-b06f-4d36-9c1a-cc84dd8197d6","pdf_url":null,"source":{"id":"https://openalex.org/S7407055359","display_name":"Explore Bristol Research","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Stoddart, M, Al-Hourani, K, Fowler, T J, Khan, U & Kelly, M 2020, 'Plate assisted intramedullary nailing of Gustilo type IIIB open tibial diaphyseal fractures : Does adjunctive plate retention affect complication rate?', Journal of Orthopaedic Trauma. https://doi.org/10.1097/BOT.0000000000001738","raw_type":"info:eu-repo/semantics/article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G3883073322","display_name":null,"funder_award_id":"ACF-2018-25-004","funder_id":"https://openalex.org/F4320319990","funder_display_name":"National Institute for Health and Care Research"}],"funders":[{"id":"https://openalex.org/F4320319990","display_name":"National Institute for Health and Care Research","ror":"https://ror.org/0187kwz08"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":37,"referenced_works":["https://openalex.org/W1641674225","https://openalex.org/W1966986363","https://openalex.org/W1970868149","https://openalex.org/W1975903241","https://openalex.org/W1983515116","https://openalex.org/W2001914571","https://openalex.org/W2004467794","https://openalex.org/W2026849248","https://openalex.org/W2044278667","https://openalex.org/W2046946408","https://openalex.org/W2053222669","https://openalex.org/W2054429969","https://openalex.org/W2060622841","https://openalex.org/W2082369996","https://openalex.org/W2087151300","https://openalex.org/W2108856815","https://openalex.org/W2140734943","https://openalex.org/W2146698255","https://openalex.org/W2147922568","https://openalex.org/W2155697196","https://openalex.org/W2281079754","https://openalex.org/W2347154776","https://openalex.org/W2466053626","https://openalex.org/W2519128930","https://openalex.org/W2538356362","https://openalex.org/W2593216634","https://openalex.org/W2610314566","https://openalex.org/W2735474815","https://openalex.org/W2802715041","https://openalex.org/W2803452350","https://openalex.org/W2899517098","https://openalex.org/W2908482416","https://openalex.org/W2947147947","https://openalex.org/W2949947114","https://openalex.org/W2969398535","https://openalex.org/W4235976125","https://openalex.org/W4406416621"],"related_works":["https://openalex.org/W2466053626","https://openalex.org/W4416300954","https://openalex.org/W2965427669","https://openalex.org/W2791361346","https://openalex.org/W2997762976","https://openalex.org/W4390235102","https://openalex.org/W2133248250","https://openalex.org/W2034267199","https://openalex.org/W2528613422","https://openalex.org/W1939607952"],"abstract_inverted_index":{"OBJECTIVES:":[0],"To":[1],"investigate":[2],"the":[3,69,88,98,107,114,128,142,195,212,236,242,257],"complication":[4],"rates":[5],"after":[6],"use":[7,243],"of":[8,17,26,141,238,244,259,287,289],"retained":[9,137],"adjunctive":[10,84],"plate":[11,85,103,125,134],"(RAP)":[12,138],"fixation":[13,144],"with":[14,42,120,247,266],"intramedullary":[15,92,130,249],"nailing":[16,250],"Gustilo-Anderson":[18,44],"type":[19,45,267],"IIIB":[20,46,268],"open":[21,47,269],"tibia":[22,49],"fractures,":[23],"as":[24,139],"part":[25,140],"a":[27,43,81,121,220,245,284],"2-stage":[28,74],"orthoplastic":[29,240],"approach.":[30],"DESIGN:":[31],"Consecutive":[32],"cohort":[33],"study.":[34],"PATIENTS/PARTICIPANTS:":[35],"One":[36],"hundred":[37,189],"and":[38,57,72,106,118,166,194],"thirty-seven":[39],"consecutive":[40],"patients":[41,61,77,171,208,216,265],"diaphyseal":[48],"fracture":[50,89,115],"(OTA/AO":[51],"42)":[52],"treated":[53,79],"between":[54],"May":[55],"2014":[56],"January":[58],"2018.":[59],"Ninety-eight":[60],"(RAP":[62,177,223],"=":[63,66,186,232],"67;":[64],"non-RAP":[65,179,225],"31)":[67],"met":[68],"inclusion":[70],"criteria":[71],"underwent":[73],"reconstruction.":[75],"All":[76],"were":[78,160,192,204],"using":[80],"small":[82,100,123],"fragment":[83,101,124],"to":[86,126,175,254],"hold":[87],"reduced":[90,117],"before":[91,150],"nailing.":[93,131],"INTERVENTION:":[94],"At":[95],"stage":[96,147],"2,":[97],"temporary":[99],"(in-fix)":[102],"was":[104,135,182,197,228],"removed":[105,149],"site":[108],"further":[109],"thoroughly":[110],"debrided.":[111],"After":[112],"this,":[113],"is":[116],"held":[119],"new":[122,133],"facilitate":[127],"definitive":[129,143,248],"This":[132,181,227],"either":[136],"at":[145],"second":[146],"or":[148,262],"wound":[151],"coverage.":[152],"MAIN":[153],"OUTCOME":[154],"MEASUREMENT:":[155],"The":[156],"main":[157],"outcome":[158],"measures":[159],"reoperation":[161],"rate,":[162],"deep":[163,221,260],"infection,":[164],"nonunion,":[165],"flap-related":[167],"complication.":[168],"RESULTS:":[169],"Six":[170],"(6/98,":[172],"6.1%)":[173],"proceeded":[174],"nonunion":[176,263],"5/67,":[178],"1/31).":[180],"not":[183,229,252],"significant":[184,230],"(P":[185,231],"0.416).":[187],"Two":[188],"twelve":[190],"operations":[191],"undertaken,":[193,205],"median":[196],"2.":[198],"Sixteen":[199],"(16/212,":[200],"7.5%)":[201],"complication-related":[202],"reoperations":[203],"affecting":[206],"8":[207],"(8/67,":[209],"11.9%)":[210],"in":[211,264],"RAP":[213,246],"group.":[214],"Eight":[215],"(8/98,":[217],"8.2%)":[218],"developed":[219],"infection":[222,261],"6/67,":[224],"2/31).":[226],"0.674).":[233],"CONCLUSIONS:":[234],"In":[235],"context":[237],"an":[239],"approach,":[241],"does":[251],"seem":[253],"significantly":[255],"increase":[256],"rate":[258],"tibial":[270],"shaft":[271],"fractures.":[272],"LEVEL":[273],"OF":[274],"EVIDENCE:":[275],"Therapeutic":[276],"Level":[277],"III.":[278],"See":[279],"Instructions":[280],"for":[281,283],"Authors":[282],"complete":[285],"description":[286],"levels":[288],"evidence.":[290]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":3}],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2020-01-23T00:00:00"}