{"id":"https://openalex.org/W7166177802","doi":"https://doi.org/10.1177/14604086261462379","title":"Incidental use of polymethylmethacrylate as a bone substitute in managing critical bone loss following grade IIIB open tibial fracture \u2013 A case report","display_name":"Incidental use of polymethylmethacrylate as a bone substitute in managing critical bone loss following grade IIIB open tibial fracture \u2013 A case report","publication_year":2026,"publication_date":"2026-06-26","ids":{"openalex":"https://openalex.org/W7166177802","doi":"https://doi.org/10.1177/14604086261462379"},"language":"en","primary_location":{"id":"doi:10.1177/14604086261462379","doi":"https://doi.org/10.1177/14604086261462379","is_oa":false,"landing_page_url":"https://doi.org/10.1177/14604086261462379","pdf_url":null,"source":{"id":"https://openalex.org/S171331007","display_name":"Trauma","issn_l":"1460-4086","issn":["1460-4086","1477-0350"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","norway-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Trauma","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5044892927","display_name":"Oluwasegun A. Aremu","orcid":"https://orcid.org/0000-0003-2157-9683","observed_orcids":["https://orcid.org/0000-0003-2157-9683"]},"institutions":[{"id":"https://openalex.org/I181631907","display_name":"University of Ibadan","ror":"https://ror.org/03wx2rr30","country_code":"NG","type":"education","lineage":["https://openalex.org/I181631907"]}],"countries":["NG"],"is_corresponding":true,"raw_author_name":"Oluwasegun A Aremu","raw_affiliation_strings":["University of Ibadan"],"raw_orcid":"https://orcid.org/0000-0003-2157-9683","affiliations":[{"raw_affiliation_string":"University of Ibadan","institution_ids":["https://openalex.org/I181631907"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5044892927"],"corresponding_institution_ids":["https://openalex.org/I181631907"],"apc_list":{"value":4150,"currency":"USD","value_usd":4150},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.4950576,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"28","issue":"4","first_page":"210","last_page":"214"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"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":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"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":0.0003000000142492354,"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/T10599","display_name":"Reconstructive Surgery and Microvascular Techniques","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/poly-methyl-methacrylate","display_name":"poly(methyl methacrylate)","score":0.9079999923706055},{"id":"https://openalex.org/keywords/bone-substitutes","display_name":"bone substitutes","score":0.9340000152587891},{"id":"https://openalex.org/keywords/open-tibial-fractures","display_name":"open tibial fractures","score":0.9559999704360962},{"id":"https://openalex.org/keywords/bone-defects","display_name":"bone defects","score":0.5569999814033508},{"id":"https://openalex.org/keywords/fracture-related-infection","display_name":"fracture-related infection","score":0.652999997138977},{"id":"https://openalex.org/keywords/fracture-union","display_name":"fracture union","score":0.5559999942779541}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9657999873161316},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6725999712944031},{"id":"https://openalex.org/C190892606","wikidata":"https://www.wikidata.org/wiki/Q3512464","display_name":"Radiological weapon","level":2,"score":0.5878000259399414},{"id":"https://openalex.org/C136948725","wikidata":"https://www.wikidata.org/wiki/Q1458306","display_name":"Soft tissue","level":2,"score":0.5065000057220459},{"id":"https://openalex.org/C3018971929","wikidata":"https://www.wikidata.org/wiki/Q3080304","display_name":"Open fracture","level":3,"score":0.4862000048160553},{"id":"https://openalex.org/C2992115439","wikidata":"https://www.wikidata.org/wiki/Q6027402","display_name":"Tibial fracture","level":3,"score":0.4814999997615814},{"id":"https://openalex.org/C2776378700","wikidata":"https://www.wikidata.org/wiki/Q3030775","display_name":"Distraction","level":2,"score":0.4034000039100647},{"id":"https://openalex.org/C2776819169","wikidata":"https://www.wikidata.org/wiki/Q1722542","display_name":"Distraction osteogenesis","level":3,"score":0.39410001039505005},{"id":"https://openalex.org/C2777236700","wikidata":"https://www.wikidata.org/wiki/Q178366","display_name":"Tibia","level":2,"score":0.3734000027179718},{"id":"https://openalex.org/C8337478","wikidata":"https://www.wikidata.org/wiki/Q1777289","display_name":"Bone healing","level":2,"score":0.3481000065803528},{"id":"https://openalex.org/C2779330695","wikidata":"https://www.wikidata.org/wiki/Q7049641","display_name":"Nonunion","level":2,"score":0.3181000053882599},{"id":"https://openalex.org/C2910444862","wikidata":"https://www.wikidata.org/wiki/Q2141048","display_name":"Bony union","level":3,"score":0.3125999867916107},{"id":"https://openalex.org/C3018917446","wikidata":"https://www.wikidata.org/wiki/Q7049641","display_name":"Delayed union","level":3,"score":0.2935999929904938},{"id":"https://openalex.org/C2776441800","wikidata":"https://www.wikidata.org/wiki/Q68833","display_name":"Bone fracture","level":2,"score":0.29269999265670776},{"id":"https://openalex.org/C2780551157","wikidata":"https://www.wikidata.org/wiki/Q938983","display_name":"Osteomyelitis","level":2,"score":0.28040000796318054},{"id":"https://openalex.org/C3018900477","wikidata":"https://www.wikidata.org/wiki/Q1755504","display_name":"Open surgery","level":2,"score":0.2743000090122223},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.26739999651908875},{"id":"https://openalex.org/C43369102","wikidata":"https://www.wikidata.org/wiki/Q2307625","display_name":"Fracture (geology)","level":2,"score":0.2605000138282776},{"id":"https://openalex.org/C199343813","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dentistry","level":1,"score":0.25429999828338623},{"id":"https://openalex.org/C2780707029","wikidata":"https://www.wikidata.org/wiki/Q1512017","display_name":"Long bone","level":2,"score":0.251800000667572}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1177/14604086261462379","doi":"https://doi.org/10.1177/14604086261462379","is_oa":false,"landing_page_url":"https://doi.org/10.1177/14604086261462379","pdf_url":null,"source":{"id":"https://openalex.org/S171331007","display_name":"Trauma","issn_l":"1460-4086","issn":["1460-4086","1477-0350"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","norway-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Trauma","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.8560000061988831,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"score":0.7818708419799805,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":14,"referenced_works":["https://openalex.org/W1969188132","https://openalex.org/W2089560383","https://openalex.org/W2140212879","https://openalex.org/W2614694672","https://openalex.org/W2913653757","https://openalex.org/W3016035440","https://openalex.org/W3017305677","https://openalex.org/W3097524711","https://openalex.org/W3110338405","https://openalex.org/W3179915329","https://openalex.org/W4313902617","https://openalex.org/W4399067362","https://openalex.org/W4407160013","https://openalex.org/W4410202298"],"related_works":[],"abstract_inverted_index":{"Background":[0],"Grade":[1],"IIIB":[2,94],"open":[3,11,95,192],"tibial":[4],"fractures":[5,12,80],"are":[6,29,57],"a":[7,65,124,134,137,181],"severe":[8,191],"form":[9],"of":[10,34,70,97,123,162,167,177],"usually":[13,75],"accompanied":[14],"by":[15,53,110,120],"soft":[16],"tissue":[17],"loss":[18,74],"and":[19,28,48,67,119,154,157,184],"bone":[20,73,105,131,142,182],"loss,":[21],"which":[22],"can":[23],"be":[24],"challenging":[25],"to":[26,77,128,148],"manage,":[27],"associated":[30],"with":[31,91,101,114,133],"increased":[32],"risk":[33],"complications,":[35],"especially":[36],"fracture-related":[37,168,188],"infection.":[38,169],"Popular":[39],"management":[40],"strategies":[41,56],"include":[42],"the":[43,49,72,98,112,121,130,175],"induced":[44],"membrane":[45],"technique":[46,52],"(Masquelet)":[47],"distraction":[50],"histogenesis":[51],"Ilizarov.":[54],"These":[55],"not,":[58],"however,":[59],"without":[60,165],"their":[61],"own":[62],"challenges.":[63],"Hence,":[64],"simple":[66],"inexpensive":[68],"method":[69],"managing":[71],"found":[76],"accompany":[78],"these":[79],"would":[81],"revolutionize":[82],"trauma":[83],"care.":[84],"Case":[85],"report":[86,173],"A":[87],"54-year-old":[88],"patient":[89],"presented":[90],"Gustilo-Anderson":[92],"type":[93],"fracture":[96,113,163],"left":[99],"leg":[100],"approximately":[102],"14":[103],"cm":[104],"loss.":[106],"He":[107],"was":[108,144],"managed":[109],"fixing":[111],"an":[115],"antibiotic":[116],"cement-coated":[117],"plate":[118],"use":[122],"polymethylmethacrylate":[125],"(PMMA)":[126],"spacer":[127,143],"fill":[129],"defect":[132],"plan":[135],"for":[136,186],"second-stage":[138],"Masquelet":[139],"technique.":[140],"The":[141],"not":[145],"removed":[146],"due":[147],"delays":[149],"in":[150,190],"accessing":[151],"theatre":[152],"space,":[153],"subsequent":[155],"clinical":[156],"radiological":[158],"images":[159],"showed":[160],"evidence":[161],"union":[164],"features":[166],"Conclusion":[170],"This":[171],"case":[172],"highlights":[174],"possibility":[176],"using":[178],"PMMA":[179],"as":[180],"substitute":[183],"also":[185],"preventing":[187],"infection":[189],"fractures.":[193]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-06-27T00:00:00"}
