{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T01:49:19Z","timestamp":1777686559080,"version":"3.51.4"},"reference-count":39,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T00:00:00Z","timestamp":1581292800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T00:00:00Z","timestamp":1581292800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T00:00:00Z","timestamp":1581292800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T00:00:00Z","timestamp":1581292800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100004731","name":"Natural Science Foundation of Zhejiang Province","doi-asserted-by":"publisher","award":["LY17H060006"],"award-info":[{"award-number":["LY17H060006"]}],"id":[{"id":"10.13039\/501100004731","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008856","name":"Department of Health of Zhejiang Province","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008856","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004731","name":"Natural Science Foundation of Zhejiang Province","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004731","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the feasibility of arthroscopic reduction percutaneous fixation (ARPF) in the treatment of isolated medial malleolar fracture and compare the results with those of conventional open reduction internal fixation (ORIF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective study enrolled 77 patients with isolated medial malleolar fracture between November 2011 and February 2016. The patients were assigned to the ARPF (n\u00a0= 34) and ORIF (n\u00a0= 43) groups. The Olerud\u2010Molander ankle score (OMAS), ankle range of motion (ROM), visual analog scale, and radiographic evaluation were determined at the scheduled follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the ARPF group, 11 of 34 patients (32.4%) had chondral lesions. Tears of the deltoid ligament and anterior inferior tibiofibular ligament were noted in 3 (8.8%) and 15 (44.1%) patients, respectively. The mean follow\u2010up was 5 years. The mean OMAS was higher in the ARPF group than in the ORIF group. The differences were statistically significant at 6 months (mean \u00b1 standard deviation, 80.2 \u00b1 4.0 for ARPF vs 77.2 \u00b1 4.1 for ORIF,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.005) and 1 year (92.9 \u00b1 4.9 vs 88.1 \u00b1 4.6,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), but not at the latest follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .081). Ankle ROM was markedly improved in the ARPF group, unlike in the ORIF group at 6 months (dorsiflexion,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .025; plantarflexion,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001) and 1 year (dorsiflexion and plantarflexion,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). The improvement remained at the latest follow\u2010up in plantarflexion (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001) but not in dorsiflexion (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .354).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopy\u2010assisted reduction is a feasible alternative modality with superior short\u2010term outcomes for treating isolated medial malleolar fracture, but its superiority may be attenuated in the intermediate term.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2020.01.053","type":"journal-article","created":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T11:40:51Z","timestamp":1581334851000},"page":"1714-1721","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"title":["Arthroscopy\u2010Assisted Reduction in the Management of Isolated Medial Malleolar Fracture"],"prefix":"10.1002","volume":"36","author":[{"given":"Chao","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Orthopedics Zhejiang University School of Medicine Sir Run Run Shaw Hospital Hangzhou 310016 China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia\u2010Xing","family":"You","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Zhejiang University School of Medicine Sir Run Run Shaw Hospital Hangzhou 310016 China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Zhejiang University School of Medicine Sir Run Run Shaw Hospital Hangzhou 310016 China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hai\u2010Feng","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Zhejiang University School of Medicine Sir Run Run Shaw Hospital Hangzhou 310016 China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"He\u2010Jun","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Zhejiang University School of Medicine Sir Run Run Shaw Hospital Hangzhou 310016 China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shun\u2010Wu","family":"Fan","sequence":"additional","affiliation":[{"name":"Key Laboratory of Musculoskeletal System Degeneration and Regeneration Translational Research of Zhejiang Province Hangzhou 310016 China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hong\u2010Ye","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Zhejiang University School of Medicine Sir Run Run Shaw Hospital Hangzhou 310016 China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,2,10]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.04.130"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2014.03.011"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2016.11.002"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bot.0000177105.53708.a9"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B1.18349"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2016.06.004"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.12.005"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2018.12.028"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200204"},{"key":"e_1_2_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.06.002"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.04.006"},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-011-1472-7"},{"key":"e_1_2_3_14_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00584"},{"key":"e_1_2_3_15_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01635"},{"key":"e_1_2_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.12.003"},{"key":"e_1_2_3_17_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.82B3.0820345"},{"key":"e_1_2_3_18_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.32317"},{"key":"e_1_2_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.04.070"},{"key":"e_1_2_3_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000114062.42369.88"},{"key":"e_1_2_3_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12306-013-0297-5"},{"key":"e_1_2_3_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715620455"},{"key":"e_1_2_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.08.016"},{"key":"e_1_2_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.05.001"},{"key":"e_1_2_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.03.051"},{"key":"e_1_2_3_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2017.12.004"},{"key":"e_1_2_3_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00435553"},{"key":"e_1_2_3_28_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B2.0790280"},{"key":"e_1_2_3_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-012-1100-2"},{"key":"e_1_2_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.01.053"},{"key":"e_1_2_3_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718782487"},{"key":"e_1_2_3_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/1938640015599034"},{"key":"e_1_2_3_33_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2018.03.030"},{"key":"e_1_2_3_34_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201104000-00007"},{"key":"e_1_2_3_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2014.11.004"},{"key":"e_1_2_3_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715597657"},{"key":"e_1_2_3_37_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2016.11.003"},{"key":"e_1_2_3_38_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-014-2031-7"},{"key":"e_1_2_3_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.03.043"},{"key":"e_1_2_3_40_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200207"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806320301353?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806320301353?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2020.01.053","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2020.01.053","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2020.01.053","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:08:07Z","timestamp":1773565687000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2020.01.053"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,10]]},"references-count":39,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1016\/j.arthro.2020.01.053"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2020.01.053","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Arthroscopy-Assisted Reduction in the Management of Isolated Medial Malleolar Fracture","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2020.01.053","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}