Bibliographic record
Abstract
A 7-year-old girl presented to the multinational medical unit at Kandahar Airfield with an open lateral malleolus fracture secondary to a blast injury. Serial debridement procedures preceded a vacuum-assisted closure dressing applied for 8 days (Fig. 1). Flap coverage was needed, and because of the location and size of the wound, no local options were feasible. The ipsilateral lesser saphenous vein and sural nerve had been injured, and there was no access to microsurgical expertise. FIG. 1. Wound over the lateral malleolus. At this point, the traumatic wound on the right ankle had undergone 8 days of vacuum-assisted closure treatment. Bone is still visible in the wound (arrow). Although currently out of favour, a cross leg flap was chosen in this case. A sural neurocutaneous flap was harvested from the contralateral leg. An external fixator was then applied to hold the legs crossed (Fig. 2). The periphery of the traumatic wound and the sural flap donor site were skin grafted immediately. Although awkward, the leg position was tolerated well by the patient. Twenty-one days after the index surgery the pedicle was divided. Vigorous retrograde bleeding was noted from the severed pedicle. Two days later the flap was trimmed and inset. No necrosis or venous congestion occurred at any time (Fig. 3). FIG. 2. The sural flap has been raised from the left leg and transferred to the traumatic wound (long arrows). The skin was left over the pedicle (short arrows) for added strength. The legs were immobilized by external fixation. FIG. 3. Appearance 10 days after pedicle division.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.002 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.056 | 0.006 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".