{"id":"https://openalex.org/W7204884491","doi":"https://doi.org/10.37647/2786-7595-2026-129-2-4-15","title":"Initial Experience with Infrared Thermography for Assessing Bone Tissue Viability in Gunshot Fractures of the Extremities Involving Articular and Periarticular Regions","display_name":"Initial Experience with Infrared Thermography for Assessing Bone Tissue Viability in Gunshot Fractures of the Extremities Involving Articular and Periarticular Regions","publication_year":2026,"publication_date":"2026-09-01","ids":{"openalex":"https://openalex.org/W7204884491","doi":"https://doi.org/10.37647/2786-7595-2026-129-2-4-15"},"language":"en","primary_location":{"id":"doi:10.37647/2786-7595-2026-129-2-4-15","doi":"https://doi.org/10.37647/2786-7595-2026-129-2-4-15","is_oa":true,"landing_page_url":"https://doi.org/10.37647/2786-7595-2026-129-2-4-15","pdf_url":"https://visnyk.uaot.com.ua/index.php/journal/article/download/247/234","source":{"id":"https://openalex.org/S4387291992","display_name":"TERRA ORTHOPAEDICA","issn_l":"2786-7595","issn":["2786-7595","2786-7609"],"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":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"TERRA ORTHOPAEDICA","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://visnyk.uaot.com.ua/index.php/journal/article/download/247/234","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5039763960","display_name":"Eduard Mykolaiovych Khoroshun","orcid":"https://orcid.org/0000-0003-1258-1319","observed_orcids":["https://orcid.org/0000-0003-1258-1319"]},"institutions":[{"id":"https://openalex.org/I76407603","display_name":"Kharkiv National Medical University","ror":"https://ror.org/01sks0025","country_code":"UA","type":"education","lineage":["https://openalex.org/I76407603"]}],"countries":["UA"],"is_corresponding":false,"raw_author_name":"E.M. Khoroshun","raw_affiliation_strings":["Military Medical Clinical Center of the Northern Region, MFC of the AFU, Kharkiv, Ukraine; Kharkiv National Medical University, Kharkiv, Ukraine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Military Medical Clinical Center of the Northern Region, MFC of the AFU, Kharkiv, Ukraine; Kharkiv National Medical University, Kharkiv, Ukraine","institution_ids":["https://openalex.org/I76407603"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020304134","display_name":"Serhii I. Panasenko","orcid":"https://orcid.org/0000-0003-2952-1670","observed_orcids":["https://orcid.org/0000-0003-2952-1670"]},"institutions":[{"id":"https://openalex.org/I4387155203","display_name":"Poltava State Medical University","ror":"https://ror.org/00kx55e87","country_code":"UA","type":"education","lineage":["https://openalex.org/I4387155203"]}],"countries":["UA"],"is_corresponding":false,"raw_author_name":"S.I. Panasenko","raw_affiliation_strings":["Military Medical Clinical Center of the Northern Region, MFC of the AFU, Kharkiv, Ukraine; Poltava State Medical University, Poltava, Ukraine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Military Medical Clinical Center of the Northern Region, MFC of the AFU, Kharkiv, Ukraine; Poltava State Medical University, Poltava, Ukraine","institution_ids":["https://openalex.org/I4387155203"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066724361","display_name":"Yu.V. Klapchuk","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I76407603","display_name":"Kharkiv National Medical University","ror":"https://ror.org/01sks0025","country_code":"UA","type":"education","lineage":["https://openalex.org/I76407603"]}],"countries":["UA"],"is_corresponding":false,"raw_author_name":"Yu.V. Klapchuk","raw_affiliation_strings":["Military Medical Clinical Center of the Northern Region, MFC of the AFU, Kharkiv, Ukraine; Kharkiv National Medical University, Kharkiv, Ukraine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Military Medical Clinical Center of the Northern Region, MFC of the AFU, Kharkiv, Ukraine; Kharkiv National Medical University, Kharkiv, Ukraine","institution_ids":["https://openalex.org/I76407603"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5114422776","display_name":"Nehoduiko V.V.","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I76407603","display_name":"Kharkiv National Medical University","ror":"https://ror.org/01sks0025","country_code":"UA","type":"education","lineage":["https://openalex.org/I76407603"]}],"countries":["UA"],"is_corresponding":false,"raw_author_name":"V.V. Nehoduiko","raw_affiliation_strings":["Military Medical Clinical Center of the Northern Region, MFC of the AFU, Kharkiv, Ukraine; Kharkiv National Medical University, Kharkiv, Ukraine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Military Medical Clinical Center of the Northern Region, MFC of the AFU, Kharkiv, Ukraine; Kharkiv National Medical University, Kharkiv, Ukraine","institution_ids":["https://openalex.org/I76407603"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.6461974,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":"2(129)","first_page":"4","last_page":"15"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12994","display_name":"Infrared Thermography in Medicine","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"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/T12994","display_name":"Infrared Thermography in Medicine","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"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/T10658","display_name":"Bone fractures and treatments","score":0.0003000000142492354,"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/T11856","display_name":"Thermography and Photoacoustic Techniques","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2211","display_name":"Mechanics of Materials"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/infrared-thermography","display_name":"infrared thermography","score":1.0},{"id":"https://openalex.org/keywords/gunshot-wounds","display_name":"gunshot wounds","score":0.7509999871253967},{"id":"https://openalex.org/keywords/periarticular-fractures","display_name":"periarticular fractures","score":0.9490000009536743},{"id":"https://openalex.org/keywords/war-injuries","display_name":"war injuries","score":0.6690000295639038},{"id":"https://openalex.org/keywords/intraoperative-assessment","display_name":"intraoperative assessment","score":0.7160000205039978},{"id":"https://openalex.org/keywords/avascular-necrosis","display_name":"avascular necrosis","score":0.7319999933242798},{"id":"https://openalex.org/keywords/soft-tissue-defects","display_name":"soft tissue defects","score":0.7630000114440918},{"id":"https://openalex.org/keywords/temperature-gradient","display_name":"temperature gradient","score":0.5370000004768372},{"id":"https://openalex.org/keywords/cold-zone","display_name":"cold zone","score":0.47600001096725464},{"id":"https://openalex.org/keywords/joint-injuries","display_name":"joint injuries","score":0.49300000071525574}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8834999799728394},{"id":"https://openalex.org/C2779222261","wikidata":"https://www.wikidata.org/wiki/Q624587","display_name":"Thermography","level":3,"score":0.7721999883651733},{"id":"https://openalex.org/C2777560053","wikidata":"https://www.wikidata.org/wiki/Q503629","display_name":"Avascular necrosis","level":3,"score":0.5812000036239624},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5123999714851379},{"id":"https://openalex.org/C136948725","wikidata":"https://www.wikidata.org/wiki/Q1458306","display_name":"Soft tissue","level":2,"score":0.4878000020980835},{"id":"https://openalex.org/C2910209844","wikidata":"https://www.wikidata.org/wiki/Q2140674","display_name":"GUNSHOT INJURY","level":2,"score":0.4307999908924103},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4187999963760376},{"id":"https://openalex.org/C520017518","wikidata":"https://www.wikidata.org/wiki/Q178934","display_name":"Occult","level":3,"score":0.3709999918937683},{"id":"https://openalex.org/C8337478","wikidata":"https://www.wikidata.org/wiki/Q1777289","display_name":"Bone healing","level":2,"score":0.36160001158714294},{"id":"https://openalex.org/C2778606738","wikidata":"https://www.wikidata.org/wiki/Q265868","display_name":"Bone tissue","level":2,"score":0.3222000002861023},{"id":"https://openalex.org/C2779561271","wikidata":"https://www.wikidata.org/wiki/Q7243102","display_name":"Primary bone","level":2,"score":0.2921999990940094},{"id":"https://openalex.org/C2993291840","wikidata":"https://www.wikidata.org/wiki/Q1121544","display_name":"Bone formation","level":2,"score":0.27869999408721924},{"id":"https://openalex.org/C146957229","wikidata":"https://www.wikidata.org/wiki/Q1266915","display_name":"Perfusion","level":2,"score":0.26260000467300415},{"id":"https://openalex.org/C53227056","wikidata":"https://www.wikidata.org/wiki/Q189152","display_name":"Viability assay","level":3,"score":0.25459998846054077}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.37647/2786-7595-2026-129-2-4-15","doi":"https://doi.org/10.37647/2786-7595-2026-129-2-4-15","is_oa":true,"landing_page_url":"https://doi.org/10.37647/2786-7595-2026-129-2-4-15","pdf_url":"https://visnyk.uaot.com.ua/index.php/journal/article/download/247/234","source":{"id":"https://openalex.org/S4387291992","display_name":"TERRA ORTHOPAEDICA","issn_l":"2786-7595","issn":["2786-7595","2786-7609"],"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":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"TERRA ORTHOPAEDICA","raw_type":"journal-article"},{"id":"pmh:oai:ojs2.visnyk.uaot.com.ua:article/247","doi":null,"is_oa":true,"landing_page_url":"https://visnyk.uaot.com.ua/index.php/journal/article/view/247","pdf_url":null,"source":{"id":"https://openalex.org/S4387291992","display_name":"TERRA ORTHOPAEDICA","issn_l":"2786-7595","issn":["2786-7595","2786-7609"],"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":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2786-7595","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.37647/2786-7595-2026-129-2-4-15","doi":"https://doi.org/10.37647/2786-7595-2026-129-2-4-15","is_oa":true,"landing_page_url":"https://doi.org/10.37647/2786-7595-2026-129-2-4-15","pdf_url":"https://visnyk.uaot.com.ua/index.php/journal/article/download/247/234","source":{"id":"https://openalex.org/S4387291992","display_name":"TERRA ORTHOPAEDICA","issn_l":"2786-7595","issn":["2786-7595","2786-7609"],"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":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"TERRA ORTHOPAEDICA","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204884491.pdf","grobid_xml":"https://content.openalex.org/works/W7204884491.grobid-xml"},"referenced_works_count":11,"referenced_works":["https://openalex.org/W2132117545","https://openalex.org/W3045232282","https://openalex.org/W3120424228","https://openalex.org/W3214678218","https://openalex.org/W4390954959","https://openalex.org/W4399388580","https://openalex.org/W4403033557","https://openalex.org/W4405177669","https://openalex.org/W4406410582","https://openalex.org/W4407318711","https://openalex.org/W4414230167"],"related_works":["https://openalex.org/W4282593803","https://openalex.org/W1518287171","https://openalex.org/W4212966942","https://openalex.org/W4399388580","https://openalex.org/W3164237174","https://openalex.org/W7120579954","https://openalex.org/W3214678218","https://openalex.org/W3206924071","https://openalex.org/W4408690212","https://openalex.org/W4285078752"],"abstract_inverted_index":{"Summary.":[0],"Background.":[1],"Infrared":[2],"thermography":[3],"(IRT)":[4],"is":[5],"widely":[6],"used":[7],"in":[8,41,91,160,223,239,262],"vascular":[9],"medicine,":[10],"orthopedics,":[11],"traumatology,":[12],"the":[13,19,35,63,76,146,150,210,248],"diagnosis":[14],"of":[15,21,37,57,66,79,87,110,152,162,167,176,184,188,203,213,247,250],"inflammatory":[16,22],"conditions,":[17],"and":[18,54,98,102,118,149,179,206,253],"assessment":[20,36,86],"process":[23],"development":[24,212],"[12].":[25],"To":[26,74],"date,":[27],"scientific":[28],"literature":[29],"contains":[30],"no":[31],"studies":[32,47],"specifically":[33],"addressing":[34],"bone":[38,88,97,117,169,177,224,236],"tissue":[39,89,237],"viability":[40,90,136,226,238],"combat":[42],"trauma":[43],"using":[44,125],"IRT.":[45],"Existing":[46],"have":[48],"primarily":[49],"focused":[50],"on":[51,140],"evaluating":[52],"perfusion":[53],"delineating":[55],"areas":[56,170,187],"soft-tissue":[58,99,119],"necrosis,":[59],"as":[60,62,81],"well":[61],"early":[64],"detection":[65],"infectious":[67],"inflammation":[68],"[2,":[69],"7,":[70],"9,":[71],"12].":[72],"Objective.":[73],"evaluate":[75],"diagnostic":[77],"capability":[78],"IRT":[80,164,217,233],"a":[82,126,255],"method":[83],"for":[84,198,220,234],"intraoperative":[85,245],"periarticular":[92,112,240],"gunshot":[93,113,241],"fractures":[94,114,242],"associated":[95],"with":[96,115,232,264],"defects.":[100,120],"Materials":[101],"Methods.":[103],"The":[104,156],"study":[105,157],"included":[106],"10":[107],"clinical":[108],"cases":[109],"comminuted":[111],"primary":[116,180],"Thermographic":[121],"examinations":[122],"were":[123,193],"performed":[124],"portable":[127],"FLIR":[128],"C5":[129],"camera":[130],"(FLIR":[131],"Systems,":[132],"USA).":[133],"Bone":[134],"fragment":[135,225],"was":[137],"assessed":[138],"based":[139],"central":[141],"temperature,":[142],"temperature":[143],"gradient":[144],"(\u0394T),":[145],"bleeding":[147],"test,":[148],"presence":[151],"cold":[153],"zones.":[154],"Results.":[155],"demonstrated":[158],"that,":[159],"72%":[161],"cases,":[163,185],"enabled":[165],"differentiation":[166],"viable":[168],"from":[171],"avascular":[172],"fragments,":[173],"allowing":[174],"preservation":[175],"structures":[178],"reconstruction.":[181],"In":[182],"28%":[183],"occult":[186],"necrosis":[189],"(\u0394T":[190],">":[191],"4.0\u00b0C)":[192],"identified,":[194],"providing":[195],"an":[196],"indication":[197],"limited":[199],"or":[200],"radical":[201],"resection":[202],"nonviable":[204],"fragments":[205],"helping":[207],"to":[208],"prevent":[209],"subsequent":[211],"chronic":[214],"osteomyelitis.":[215],"Conclusions.":[216],"proved":[218],"effective":[219],"assessing":[221,235],"changes":[222],"over":[227],"time.":[228],"This":[229],"initial":[230],"experience":[231],"demonstrates":[243],"improved":[244],"planning":[246],"extent":[249],"surgical":[251],"intervention":[252],"indicates":[254],"consistent":[256],"trend":[257],"toward":[258],"optimizing":[259],"treatment":[260],"outcomes":[261],"patients":[263],"complex":[265],"combat-related":[266],"joint":[267],"injuries.":[268]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-09-02T00:00:00"}