{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:49:16Z","timestamp":1787500156295,"version":"build-2736575974"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T00:00:00Z","timestamp":1554768000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"published-print":{"date-parts":[[2019,8]]},"DOI":"10.1007\/s00590-019-02430-6","type":"journal-article","created":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T02:02:35Z","timestamp":1554775355000},"page":"1325-1330","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Negative prognostic factors in surgical treatment for trimalleolar fractures"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5246-9714","authenticated-orcid":false,"given":"Gianluca","family":"Testa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Ganci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirko","family":"Amico","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Papotto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena Maria Chiara","family":"Giardina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Sessa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vito","family":"Pavone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,4,9]]},"reference":[{"issue":"1","key":"2430_CR1","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1016\/j.ocl.2016.08.004","volume":"48","author":"S Tenenbaum","year":"2017","unstructured":"Tenenbaum S, Shazar N, Bruck N, Bariteau J (2017) Posterior malleolus fractures. Orthop Clin N Am 48(1):81\u201389","journal-title":"Orthop Clin N Am"},{"issue":"5","key":"2430_CR2","doi-asserted-by":"publisher","first-page":"1058","DOI":"10.1097\/01.ta.0000196700.74272.10","volume":"60","author":"J Kukkonen","year":"2006","unstructured":"Kukkonen J, Heikkil\u00e4 JT, Kyyr\u00f6nen T, Mattila K, Gullichsen E (2006) Posterior malleolar fracture is often associated with spiral tibial diaphyseal fracture: a retrospective study. J Trauma 60(5):1058\u20131060","journal-title":"J Trauma"},{"issue":"9","key":"2430_CR3","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1097\/01.bot.0000177105.53708.a9","volume":"19","author":"KJ Koval","year":"2005","unstructured":"Koval KJ, Lurie J, Zhou W et al (2005) Ankle fractures in the elderly: what you get depends on where you live and who you see. J Orthop Trauma 19(9):635\u2013639","journal-title":"J Orthop Trauma"},{"key":"2430_CR4","doi-asserted-by":"publisher","first-page":"732","DOI":"10.2174\/1874325001711010732","volume":"11","author":"X Duan","year":"2017","unstructured":"Duan X, Kadakia AR (2017) Operative treatment of posterior malleolar fractures. Open Orthop J 11:732\u2013742","journal-title":"Open Orthop J"},{"issue":"6","key":"2430_CR5","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1007\/s00068-015-0560-6","volume":"41","author":"J Barton\u00ed\u010dek","year":"2015","unstructured":"Barton\u00ed\u010dek J, Rammelt S, Tu\u010dek M, Na\u0148ka O (2015) Posterior malleolar fractures of the ankle. Eur J Trauma Emerg Surg 41(6):587\u2013600","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"3","key":"2430_CR6","doi-asserted-by":"publisher","first-page":"666","DOI":"10.1097\/TA.0b013e3181e4f81e","volume":"69","author":"NC Tejwani","year":"2010","unstructured":"Tejwani NC, Pahk B, Egol KA (2010) Effect of posterior malleolus fracture on outcome after unstable ankle fracture. J Trauma 69(3):666\u2013669","journal-title":"J Trauma"},{"issue":"2","key":"2430_CR7","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1016\/j.cpm.2012.01.002","volume":"29","author":"DM Mandi","year":"2012","unstructured":"Mandi DM (2012) Ankle fractures. Clin Podiatr Med Surg 29(2):155\u2013186","journal-title":"Clin Podiatr Med Surg"},{"issue":"4","key":"2430_CR8","doi-asserted-by":"publisher","first-page":"521","DOI":"10.2106\/00004623-198971040-00007","volume":"71","author":"IG Yablon","year":"1989","unstructured":"Yablon IG, Leach RE (1989) Reconstruction of malunited fractures of the lateral malleolus. J Bone Joint Surg Am 71(4):521\u2013527","journal-title":"J Bone Joint Surg Am"},{"issue":"11","key":"2430_CR9","doi-asserted-by":"publisher","first-page":"1496","DOI":"10.1302\/0301-620X.99B11.BJJ-2017-0558.R1","volume":"99-B","author":"N Bali","year":"2017","unstructured":"Bali N, Aktselis I, Ramasamy A, Mitchell S, Fenton P (2017) An evolution in the management of fractures of the ankle: safety and efficacy of posteromedial approach for Haraguchi type 2 posterior malleolar fractures. Bone Joint J 99-B(11):1496\u20131501","journal-title":"Bone Joint J"},{"key":"2430_CR10","first-page":"509","volume":"71","author":"MC Nelson","year":"1940","unstructured":"Nelson MC, Jensen NK (1940) The treatment of trimalleolar fractures of the ankle. Surg Gynecol Obstet 71:509\u2013514","journal-title":"Surg Gynecol Obstet"},{"issue":"5","key":"2430_CR11","doi-asserted-by":"publisher","first-page":"993","DOI":"10.1007\/s00264-013-1785-9","volume":"37","author":"N Jindal","year":"2013","unstructured":"Jindal N, Gupta P (2013) Comment on Xu et al.: a retrospective study of posterior malleolus fractures. Int Orthop 37(5):993\u2013994","journal-title":"Int Orthop"},{"issue":"3","key":"2430_CR12","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1308\/rcsann.2011.93.3.185a","volume":"93","author":"J Fitz-Henry","year":"2011","unstructured":"Fitz-Henry J (2011) The ASA classification and peri-operative risk. Ann R Coll Surg Engl 93(3):185\u2013187","journal-title":"Ann R Coll Surg Engl"},{"key":"2430_CR13","first-page":"133","volume-title":"Theorie et Pratique de l\u2019Osteosynthese","author":"R Danis","year":"1949","unstructured":"Danis R (1949) Les fractures malleolaires. In: Danis R (ed) Theorie et Pratique de l\u2019Osteosynthese. Masson, Paris, pp 133\u2013165"},{"issue":"1","key":"2430_CR14","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1016\/j.rbo.2017.03.006","volume":"53","author":"LLD Fonseca","year":"2017","unstructured":"Fonseca LLD, Nunes IG, Nogueira RR, Martins GEV, Mesencio AC, Kobata SI (2017) Reproducibility of the Lauge-Hansen, Danis\u2013Weber, and AO classifications for ankle fractures. Rev Bras Ortop 53(1):101\u2013106","journal-title":"Rev Bras Ortop"},{"issue":"5","key":"2430_CR15","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1177\/107110079701800503","volume":"18","author":"A McBryde","year":"1997","unstructured":"McBryde A, Chiasson B, Wilhelm A, Donovan F, Ray T, Bacilla P (1997) Syndesmotic screw placement: a biomechanical analysis. Foot Ankle Int 18(5):262\u2013266","journal-title":"Foot Ankle Int"},{"issue":"3","key":"2430_CR16","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1053\/j.jfas.2005.02.002","volume":"44","author":"JS Vries De","year":"2005","unstructured":"De Vries JS, Wijgman AJ, Sierevelt IN, Schaap GR (2005) Long-term results of ankle fractures with a posterior malleolar fragment. J Foot Ankle Surg 44(3):211\u2013217","journal-title":"J Foot Ankle Surg"},{"issue":"11","key":"2430_CR17","doi-asserted-by":"publisher","first-page":"1565","DOI":"10.1097\/00005373-198911000-00018","volume":"29","author":"RA Jaskulka","year":"1989","unstructured":"Jaskulka RA, Ittner G, Schedl R (1989) Fractures of the posterior tibial margin: their role in the prognosis of malleolar fractures. J Trauma 29(11):1565\u20131570","journal-title":"J Trauma"},{"issue":"9","key":"2430_CR18","doi-asserted-by":"publisher","first-page":"1095","DOI":"10.1177\/1071100715583456","volume":"36","author":"KJ Hunt","year":"2015","unstructured":"Hunt KJ, Goeb Y, Behn AW, Criswell B, Chou L (2015) Ankle joint contact loads and displacement with progressive syndesmotic injury. Foot Ankle Int 36(9):1095\u20131103","journal-title":"Foot Ankle Int"},{"issue":"2","key":"2430_CR19","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1097\/00005131-199404000-00014","volume":"8","author":"M Vrahas","year":"1994","unstructured":"Vrahas M, Fu F, Veenis B (1994) Intraarticular contact stresses with simulated ankle malunions. J Orthop Trauma 8(2):159\u2013166","journal-title":"J Orthop Trauma"},{"issue":"2","key":"2430_CR20","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1016\/S1067-2516(03)70009-X","volume":"42","author":"G Papachristou","year":"2003","unstructured":"Papachristou G, Efstathopoulos N, Levidiotis C, Chronopoulos E (2003) Early weight bearing after posterior malleolar fractures: an experimental and prospective clinical study. J Foot Ankle Surg 42(2):99\u2013104","journal-title":"J Foot Ankle Surg"},{"issue":"11","key":"2430_CR21","doi-asserted-by":"publisher","first-page":"1413","DOI":"10.1302\/0301-620X.99B11.BJJ-2017-1072","volume":"99-B","author":"MC Solan","year":"2017","unstructured":"Solan MC, Sakellariou A (2017) Posterior malleolus fractures: worth fixing. Bone Joint J 99-B(11):1413\u20131419","journal-title":"Bone Joint J"},{"key":"2430_CR22","first-page":"182","volume":"320","author":"JM Hartford","year":"1995","unstructured":"Hartford JM, Gorczyca JT, McNamara JL, Mayor MB (1995) Tibiotalar contact area. Contribution of posterior malleolus and deltoid ligament. Clin Orthop Relat Res 320:182\u2013187","journal-title":"Clin Orthop Relat Res"},{"key":"2430_CR23","doi-asserted-by":"crossref","unstructured":"Cho BK, Choi SM, Shin YD (2018) Prognostic factors for intermediate-term clinical outcomes following Bosworth fractures of the ankle joint. Foot Ankle Surg (Epub ahead of print)","DOI":"10.1016\/j.fas.2018.05.005"},{"key":"2430_CR24","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1016\/j.ijsu.2018.06.018","volume":"56","author":"J Shao","year":"2018","unstructured":"Shao J, Zhang H, Yin B et al (2018) Risk factors for surgical site infection following operative treatment of ankle fractures: a systematic review and meta-analysis. Int J Surg 56:124\u2013132","journal-title":"Int J Surg"},{"issue":"8","key":"2430_CR25","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.3928\/0147-7447-19890801-05","volume":"12","author":"UF Heim","year":"1989","unstructured":"Heim UF (1989) Trimalleolar fractures: late results after fixation of the posterior fragment. Orthopedics 12(8):1053\u20131059","journal-title":"Orthopedics"},{"issue":"11","key":"2430_CR26","doi-asserted-by":"publisher","first-page":"1308","DOI":"10.1016\/j.injury.2007.06.002","volume":"38","author":"NH Shah","year":"2007","unstructured":"Shah NH, Sundaram RO, Velusamy A, Braithwaite IJ (2007) Five-year functional outcome analysis of ankle fracture fixation. Injury 38(11):1308\u20131312","journal-title":"Injury"},{"issue":"2","key":"2430_CR27","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1053\/j.jfas.2010.12.013","volume":"50","author":"J Mingo-Robinet","year":"2011","unstructured":"Mingo-Robinet J, L\u00f3pez-Dur\u00e1n L, Galeote JE, Martinez-Cervell C (2011) Ankle fractures with posterior malleolar fragment: management and results. J Foot Ankle Surg 50(2):141\u2013145","journal-title":"J Foot Ankle Surg"}],"container-title":["European Journal of Orthopaedic Surgery &amp; Traumatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-019-02430-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00590-019-02430-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-019-02430-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,5]],"date-time":"2020-12-05T15:20:59Z","timestamp":1607181659000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00590-019-02430-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,9]]},"references-count":27,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["2430"],"URL":"https:\/\/doi.org\/10.1007\/s00590-019-02430-6","relation":{},"ISSN":["1633-8065","1432-1068"],"issn-type":[{"value":"1633-8065","type":"print"},{"value":"1432-1068","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,9]]},"assertion":[{"value":"15 January 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 April 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 April 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"All authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}