{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T05:45:28Z","timestamp":1782625528812,"version":"3.54.5"},"reference-count":36,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Foot and Ankle Surgery"],"published-print":{"date-parts":[[2022,10]]},"DOI":"10.1016\/j.fas.2021.11.007","type":"journal-article","created":{"date-parts":[[2021,11,17]],"date-time":"2021-11-17T11:54:36Z","timestamp":1637150076000},"page":"809-816","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"title":["Fibular fixation in mid and distal extra-articular tibia fractures \u2013 A systematic review and meta-analysis"],"prefix":"10.1016","volume":"28","author":[{"given":"Raymond G.","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent V.G.","family":"An","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey F.","family":"Petchell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.fas.2021.11.007_bib1","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1007\/s00264-009-0832-z","article-title":"Distal tibia fractures: management and complications of 101 cases","volume":"34","author":"Joveniaux","year":"2010","journal-title":"Int Orthop"},{"key":"10.1016\/j.fas.2021.11.007_bib2","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/j.injury.2020.10.026","article-title":"Plate vs. nail for extra-articular distal tibia fractures: how should we personalize surgical treatment? A meta-analysis of 1332 patients","volume":"52","author":"Bleeker","year":"2021","journal-title":"Injury"},{"key":"10.1016\/j.fas.2021.11.007_bib3","doi-asserted-by":"crossref","first-page":"954","DOI":"10.1111\/os.12575","article-title":"Intramedullary nailing versus minimally invasive plate osteosynthesis for distal tibial fractures: a systematic review and meta-analysis","volume":"11","author":"Liu","year":"2019","journal-title":"Orthop Surg"},{"key":"10.1016\/j.fas.2021.11.007_bib4","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1097\/00003086-198404000-00047","article-title":"Role of the fibula in weight-bearing","author":"Takebe","year":"1984","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.fas.2021.11.007_bib5","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1097\/00003086-199609000-00034","article-title":"Fibula and its ligaments in load transmission and ankle joint stability","author":"Wang","year":"1996","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.fas.2021.11.007_bib6","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1097\/00005131-200502000-00006","article-title":"Predictors of functional outcome following transsyndesmotic screw fixation of ankle fractures","volume":"19","author":"Weening","year":"2005","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.fas.2021.11.007_bib7","doi-asserted-by":"crossref","first-page":"675","DOI":"10.5435\/00124635-201211000-00001","article-title":"Management of extra-articular fractures of the distal tibia: intramedullary nailing versus plate fixation","volume":"20","author":"Casstevens","year":"2012","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.fas.2021.11.007_bib8","first-page":"45","article-title":"Fibular fixation as an adjuvant to tibial intramedullary nailing in the treatment of combined distal third tibia and fibula fractures: a biomechanical investigation","volume":"51","author":"Morin","year":"2008","journal-title":"Can J Surg"},{"key":"10.1016\/j.fas.2021.11.007_bib9","doi-asserted-by":"crossref","first-page":"604","DOI":"10.2106\/00004623-200304000-00003","article-title":"Effect of fibular plate fixation on rotational stability of simulated distal tibial fractures treated with intramedullary nailing","volume":"85","author":"Kumar","year":"2003","journal-title":"J Bone Jt Surg Am"},{"key":"10.1016\/j.fas.2021.11.007_bib10","doi-asserted-by":"crossref","first-page":"770","DOI":"10.2106\/00004623-198062050-00011","article-title":"Problems associated with tibial fractures with intact fibulae","volume":"62","author":"Teitz","year":"1980","journal-title":"J Bone Jt Surg Am"},{"key":"10.1016\/j.fas.2021.11.007_bib11","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1007\/s00402-012-1502-y","article-title":"A multicentre case series of tibia fractures treated with the Expert Tibia Nail (ETN)","volume":"132","author":"Attal","year":"2012","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.fas.2021.11.007_bib12","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1097\/01.bot.0000199118.61229.70","article-title":"Does fibular plating improve alignment after intramedullary nailing of distal metaphyseal tibia fractures?","volume":"20","author":"Egol","year":"2006","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.fas.2021.11.007_bib13","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1136\/jech.51.6.701","article-title":"Conservatively managed tibial shaft fractures in Nottingham, UK: are pain, osteoarthritis, and disability long-term complications?","volume":"51","author":"Greenwood","year":"1997","journal-title":"J Epidemiol Community Health"},{"key":"10.1016\/j.fas.2021.11.007_bib14","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1097\/BOT.0b013e31823924df","article-title":"Factors influencing functional outcomes after distal tibia shaft fractures","volume":"26","author":"Vallier","year":"2012","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.fas.2021.11.007_bib15","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1016\/j.ijsu.2010.02.007","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"8","author":"Moher","year":"2010","journal-title":"Int J Surg"},{"key":"10.1016\/j.fas.2021.11.007_bib16","doi-asserted-by":"crossref","first-page":"i4919","DOI":"10.1136\/bmj.i4919","article-title":"ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions","volume":"355","author":"Sterne","year":"2016","journal-title":"BMJ"},{"key":"10.1016\/j.fas.2021.11.007_bib17","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1136\/bmj.39489.470347.AD","article-title":"GRADE: an emerging consensus on rating quality of evidence and strength of recommendations","volume":"336","author":"Guyatt","year":"2008","journal-title":"Bmj"},{"key":"10.1016\/j.fas.2021.11.007_bib18","unstructured":"Review Manager (RevMan). 5.3 ed. Copenhagen: The Nordic Cochrane Centre: The Cochrane Collaboration; 2014."},{"key":"10.1016\/j.fas.2021.11.007_bib19","first-page":"48","article-title":"The role of fibular fixation in the treatment of combined distal tibia and fibula fracture: a randomized","volume":"6","author":"Javdan","year":"2017","journal-title":"Control Trial Adv"},{"key":"10.1016\/j.fas.2021.11.007_bib20","doi-asserted-by":"crossref","first-page":"1487","DOI":"10.1007\/s00590-020-02726-y","article-title":"Outcome and complications of distal tibia fractures treated with intramedullary nails versus minimally invasive plate osteosynthesis and the role of fibula fixation","volume":"30","author":"Kariya","year":"2020","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.fas.2021.11.007_bib21","doi-asserted-by":"crossref","first-page":"1885","DOI":"10.1016\/j.injury.2013.08.028","article-title":"Assessment of the role of fibular fixation in distal-third tibia-fibula fractures and its significance in decreasing malrotation and malalignment","volume":"44","author":"Prasad","year":"2013","journal-title":"Injury"},{"key":"10.1016\/j.fas.2021.11.007_bib22","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1016\/j.otsr.2012.09.009","article-title":"The role of fibular fixation in the treatment of tibia diaphysis distal third fractures","volume":"98","author":"Rouhani","year":"2012","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.fas.2021.11.007_bib23","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1016\/j.injury.2013.09.017","article-title":"To fix or not to fix? The role of fibular fixation in distal shaft fractures of the leg","volume":"45","author":"Berlusconi","year":"2014","journal-title":"Injury"},{"key":"10.1016\/j.fas.2021.11.007_bib24","first-page":"667","article-title":"Distal leg fractures: how critical is the fibular fracture and its fixation?","volume":"96","author":"Bonnevialle","year":"2010","journal-title":"Orthop Traumatol: Surg Res"},{"key":"10.1016\/j.fas.2021.11.007_bib25","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1097\/BOT.0000000000000832","article-title":"Does concurrent tibial intramedullary nailing and fibular fixation increase rates of tibial nonunion? A matched cohort study","volume":"31","author":"Githens","year":"2017","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.fas.2021.11.007_bib26","first-page":"558","article-title":"When is indicated fibular fixation in extra-articular fractures of the distal tibia?","volume":"89","author":"Pogliacomi","year":"2018","journal-title":"Acta Biomed"},{"key":"10.1016\/j.fas.2021.11.007_bib27","doi-asserted-by":"crossref","first-page":"2438","DOI":"10.1016\/j.injury.2015.09.035","article-title":"Necessity for fibular fixation associated with distal tibia fractures","volume":"46","author":"Taylor","year":"2015","journal-title":"Injury"},{"key":"10.1016\/j.fas.2021.11.007_bib28","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1007\/s00068-017-0797-3","article-title":"Intramedullary tibial nailing of distal tibiofibular fractures: additional fibular fixation or not?","volume":"44","author":"Van Maele","year":"2018","journal-title":"Eur J Trauma Emerg Surg"},{"key":"10.1016\/j.fas.2021.11.007_bib29","doi-asserted-by":"crossref","first-page":"1653","DOI":"10.1016\/j.injury.2014.06.025","article-title":"Health outcomes of delayed union and nonunion of femoral and tibial shaft fractures","volume":"45","author":"Tay","year":"2014","journal-title":"Injury"},{"key":"10.1016\/j.fas.2021.11.007_bib30","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1080\/000164700317413139","article-title":"Displaced tibial shaft fractures: a prospective randomized study of closed intramedullary nailing versus cast treatment in 53 patients","volume":"71","author":"Karladani","year":"2000","journal-title":"Acta Orthop Scand"},{"key":"10.1016\/j.fas.2021.11.007_bib31","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1302\/0301-620X.90B4.19750","article-title":"Injuries to the tibiofibular syndesmosis","volume":"90-B","author":"D","year":"2008","journal-title":"J Bone Jt Surg Brit Vol"},{"issue":"Suppl 3","key":"10.1016\/j.fas.2021.11.007_bib32","doi-asserted-by":"crossref","first-page":"C107","DOI":"10.1016\/S0020-1383(00)80038-8","article-title":"A sample of Chinese literature MRI diagnosis of interosseous membrane injury in Maisonneuve fractures of the fibula","volume":"31","author":"Manyi","year":"2000","journal-title":"Injury"},{"key":"10.1016\/j.fas.2021.11.007_bib33","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1097\/BOT.0000000000000603","article-title":"Association between tibial malunion deformity parameters and degenerative hip and knee disease","volume":"30","author":"Weinberg","year":"2016","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.fas.2021.11.007_bib34","first-page":"105","article-title":"The operative treatment of intra-articular fractures of the lower end of the tibia","author":"Ruedi","year":"1979","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.fas.2021.11.007_bib35","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1097\/BOT.0b013e3180332dd2","article-title":"The effect of concurrent fibular fracture on the fixation of distal tibia fractures: a laboratory comparison of intramedullary nails with locked plates","volume":"21","author":"Strauss","year":"2007","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.fas.2021.11.007_bib36","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1186\/s13018-020-01904-2","article-title":"Prevalence and influencing factors of nonunion in patients with tibial fracture: systematic review and meta-analysis","volume":"15","author":"Tian","year":"2020","journal-title":"J Orthop Surg Res"}],"container-title":["Foot and Ankle Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1268773121002186?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1268773121002186?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T11:10:02Z","timestamp":1761131402000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1268773121002186"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":36,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["S1268773121002186"],"URL":"https:\/\/doi.org\/10.1016\/j.fas.2021.11.007","relation":{},"ISSN":["1268-7731"],"issn-type":[{"value":"1268-7731","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Fibular fixation in mid and distal extra-articular tibia fractures \u2013 A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Foot and Ankle Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.fas.2021.11.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}