{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T13:05:19Z","timestamp":1784898319926,"version":"3.55.0"},"reference-count":38,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"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":[[2026,2]]},"DOI":"10.1016\/j.fas.2025.08.006","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T20:59:42Z","timestamp":1755809982000},"page":"176-182","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous anterior to posterior screw fixation via lateral malleolus incision window for Barton\u00ed\u010dek-Rammelt type 4 posterior malleolus fractures"],"prefix":"10.1016","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7297-1215","authenticated-orcid":false,"given":"Chunguang","family":"Sun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mu","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongjin","family":"Qi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenshu","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youhua","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"11","key":"10.1016\/j.fas.2025.08.006_bib1","doi-asserted-by":"crossref","first-page":"1565","DOI":"10.1097\/00005373-198911000-00018","article-title":"Fractures of the posterior tibial margin: their role in the prognosis of malleolar fractures","volume":"29","author":"Jaskulka","year":"1989","journal-title":"J Trauma"},{"issue":"9","key":"10.1016\/j.fas.2025.08.006_bib2","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1177\/1071100714537630","article-title":"Evaluation of posterior malleolar fractures and the posterior pilon variant in operatively treated ankle fractures","volume":"35","author":"Switaj","year":"2014","journal-title":"Foot Ankle Int"},{"issue":"8","key":"10.1016\/j.fas.2025.08.006_bib3","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.3928\/0147-7447-19890801-05","article-title":"Trimalleolar fractures: late results after fixation of the posterior fragment","volume":"12","author":"Heim","year":"1989","journal-title":"Orthopedics"},{"issue":"1","key":"10.1016\/j.fas.2025.08.006_bib4","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.fcl.2016.09.009","article-title":"Posterior malleolar fractures: changing concepts and recent developments","volume":"22","author":"Barton\u00ed\u010dek","year":"2017","journal-title":"Foot Ankle Clin"},{"issue":"11","key":"10.1016\/j.fas.2025.08.006_bib5","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1302\/0301-620X.99B11.BJJ-2017-1072","article-title":"Posterior malleolus fractures: worth fixing","volume":"99-B","author":"Solan","year":"2017","journal-title":"Bone Jt J"},{"issue":"5","key":"10.1016\/j.fas.2025.08.006_bib6","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.2106\/JBJS.E.00856","article-title":"Pathoanatomy of posterior malleolar fractures of the ankle","volume":"88","author":"Haraguchi","year":"2006","journal-title":"J Bone Jt Surg Am"},{"key":"10.1016\/j.fas.2025.08.006_bib7","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/01.blo.0000203489.21206.a9","article-title":"Fixation of posterior malleolar fractures provides greater syndesmotic stability","volume":"447","author":"Gardner","year":"2006","journal-title":"Clin Orthop Relat Res"},{"issue":"4","key":"10.1016\/j.fas.2025.08.006_bib8","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1007\/s11999-009-1111-4","article-title":"Posterior malleolar stabilization of syndesmotic injuries is equivalent to screw fixation","volume":"468","author":"Miller","year":"2010","journal-title":"Clin Orthop Relat Res"},{"issue":"4","key":"10.1016\/j.fas.2025.08.006_bib9","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1007\/s00402-015-2171-4","article-title":"Anatomy and classification of the posterior tibial fragment in ankle fractures","volume":"135","author":"Barton\u00ed\u010dek","year":"2015","journal-title":"Arch Orthop Trauma Surg"},{"issue":"6","key":"10.1016\/j.fas.2025.08.006_bib10","doi-asserted-by":"crossref","DOI":"10.1302\/0301-620X.98B6.36497","article-title":"Open reduction and internal fixation of posterior malleolar fractures using the posterolateral approach","volume":"98-B","author":"Verhage","year":"2016","journal-title":"Bone Jt J"},{"issue":"8","key":"10.1016\/j.fas.2025.08.006_bib11","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.RVW.19.00207","article-title":"Posterior malleolar fractures: a critical analysis review","volume":"8","author":"Rammelt","year":"2020","journal-title":"JBJS Rev"},{"issue":"1","key":"10.1016\/j.fas.2025.08.006_bib12","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1053\/j.jfas.2020.08.036","article-title":"Posterior locking plate fixation of Barton\u00ed\u010dek type IV posterior malleolar fracture: a focus on die-punch fragment size","volume":"61","author":"Sun","year":"2022","journal-title":"J Foot Ankle Surg"},{"issue":"4","key":"10.1016\/j.fas.2025.08.006_bib13","article-title":"Posterior malleolar open reduction and internal fixation through a posterolateral approach for trimalleolar fractures","volume":"7","author":"Hoogendoorn","year":"2017","journal-title":"JBJS Ess Surg Tech"},{"issue":"4","key":"10.1016\/j.fas.2025.08.006_bib14","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1053\/j.jfas.2014.09.043","article-title":"Single oblique posterolateral approach for open reduction and internal fixation of posterior malleolar fractures with an associated lateral malleolar fracture","volume":"54","author":"Choi","year":"2015","journal-title":"J Foot Ankle Surg"},{"issue":"1","key":"10.1016\/j.fas.2025.08.006_bib15","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1186\/s13018-022-03106-4","article-title":"Posterior pilon fracture treated by opening the fibula fracture gap","volume":"17","author":"Jiang","year":"2022","journal-title":"J Orthop Surg Res"},{"issue":"3","key":"10.1016\/j.fas.2025.08.006_bib16","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1007\/BF00435553","article-title":"A scoring scale for symptom evaluation after ankle fracture","volume":"103","author":"Olerud","year":"1984","journal-title":"Arch Orthop Trauma Surg"},{"issue":"6","key":"10.1016\/j.fas.2025.08.006_bib17","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1007\/s00402-021-03772-9","article-title":"Leave it or fix it? How fixation of a small posterior malleolar fragment neutralizes rotational forces in trimalleolar fractures","volume":"142","author":"Evers","year":"2022","journal-title":"Arch Orthop Trauma Surg"},{"issue":"9","key":"10.1016\/j.fas.2025.08.006_bib18","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1007\/s00402-018-2949-2","article-title":"When and how to operate the posterior malleolus fragment in trimalleolar fractures: a systematic literature review","volume":"138","author":"Verhage","year":"2018","journal-title":"Arch Orthop Trauma Surg"},{"issue":"11","key":"10.1016\/j.fas.2025.08.006_bib19","doi-asserted-by":"crossref","first-page":"1497","DOI":"10.1302\/0301-620X.98B11.BJJ-2016-0202.R1","article-title":"Should syndesmotic screws be removed after surgical fixation of unstable ankle fractures? A systematic review","volume":"98-B","author":"Dingemans","year":"2016","journal-title":"Bone Jt J"},{"issue":"6","key":"10.1016\/j.fas.2025.08.006_bib20","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1007\/s00068-014-0466-8","article-title":"An update on the evaluation and treatment of syndesmotic injuries","volume":"41","author":"Rammelt","year":"2015","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"3","key":"10.1016\/j.fas.2025.08.006_bib21","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1007\/s00064-013-0235-6","article-title":"Operative treatment of pronation fracture dislocation of the ankle","volume":"25","author":"Rammelt","year":"2013","journal-title":"Oper Orthop Trauma"},{"issue":"3","key":"10.1016\/j.fas.2025.08.006_bib22","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.fas.2019.03.011","article-title":"Characteristics of intercalary fragment in posterior malleolus fractures","volume":"26","author":"Sultan","year":"2020","journal-title":"Foot Ankle Surg"},{"issue":"9","key":"10.1016\/j.fas.2025.08.006_bib23","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1097\/BOT.0000000000000330","article-title":"Posterior malleolar fracture patterns","volume":"29","author":"Mangnus","year":"2015","journal-title":"J Orthop Trauma"},{"issue":"12","key":"10.1016\/j.fas.2025.08.006_bib24","doi-asserted-by":"crossref","first-page":"1337","DOI":"10.1177\/1071100717731568","article-title":"Impact of computed tomography on operative planning for ankle fractures involving the posterior malleolus","volume":"38","author":"Donohoe","year":"2017","journal-title":"Foot Ankle Int"},{"issue":"12","key":"10.1016\/j.fas.2025.08.006_bib25","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.RVW.17.00209","article-title":"Computed tomography in the diagnosis and treatment of ankle fractures: a critical analysis review","volume":"6","author":"Rammelt","year":"2018","journal-title":"JBJS Rev"},{"issue":"5","key":"10.1016\/j.fas.2025.08.006_bib26","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1302\/2058-5241.1.000023","article-title":"Management of ankle fractures in the elderly","volume":"1","author":"Rammelt","year":"2017","journal-title":"EFORT Open Rev"},{"issue":"4","key":"10.1016\/j.fas.2025.08.006_bib27","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1007\/s00402-018-3099-2","article-title":"Pathoanatomy of maisonneuve fracture based on radiologic and CT examination","volume":"139","author":"Barton\u00ed\u010dek","year":"2019","journal-title":"Arch Orthop Trauma Surg"},{"issue":"1","key":"10.1016\/j.fas.2025.08.006_bib28","doi-asserted-by":"crossref","DOI":"10.1097\/OI9.0000000000000321","article-title":"Percutaneous posterior to anterior screw fixation through achilles tendon for posterior malleolus fractures: technique description and case series","volume":"7","author":"Dimitroulias","year":"2024","journal-title":"OTA Int"},{"issue":"6","key":"10.1016\/j.fas.2025.08.006_bib29","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1177\/1071100715570895","article-title":"Influence of fragment size and postoperative joint congruency on long-term outcome of posterior malleolar fractures","volume":"36","author":"Drijfhout van Hooff","year":"2015","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.fas.2025.08.006_bib30","doi-asserted-by":"crossref","first-page":"S65","DOI":"10.1016\/S0020-1383(17)30743-X","article-title":"Posterior fragment in ankle fractures: anteroposterior vs posteroanterior fixation","volume":"48","author":"Vidovi\u00b4c","year":"2017","journal-title":"Injury"},{"issue":"2","key":"10.1016\/j.fas.2025.08.006_bib31","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1016\/j.injury.2018.12.025","article-title":"Open reduction and internal fixation of the posterior malleolus fragment frequently restores syndesmotic stability","volume":"50","author":"Baumbach","year":"2019","journal-title":"Injury"},{"issue":"3","key":"10.1016\/j.fas.2025.08.006_bib32","doi-asserted-by":"crossref","first-page":"309","DOI":"10.4103\/ortho.IJOrtho_308_16","article-title":"Posterior malleolus fractures in trimalleolar ankle fractures: malleolus versus transyndesmal fixation","volume":"52","author":"Tosun","year":"2018","journal-title":"Indian J Orthop"},{"issue":"9","key":"10.1016\/j.fas.2025.08.006_bib33","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.1302\/0301-620X.102B9.BJJ-2019-1660.R1","article-title":"Group EFX-tS. posterior malleolar ankle fractures","volume":"102-B","author":"Blom","year":"2020","journal-title":"Bone Jt J"},{"issue":"7","key":"10.1016\/j.fas.2025.08.006_bib34","doi-asserted-by":"crossref","first-page":"1392","DOI":"10.1016\/j.injury.2019.06.003","article-title":"Posterior malleolar fracture morphology determines out-come in rotational type ankle fractures","volume":"50","author":"Blom","year":"2019","journal-title":"Injury"},{"issue":"9","key":"10.1016\/j.fas.2025.08.006_bib35","doi-asserted-by":"crossref","first-page":"1929","DOI":"10.1007\/s00264-012-1591-9","article-title":"A retrospective study of posterior malleolus fractures","volume":"36","author":"Xu","year":"2012","journal-title":"Int Orthop"},{"issue":"3","key":"10.1016\/j.fas.2025.08.006_bib36","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1007\/s00402-018-3056-0","article-title":"Persistent postoperative step-off of the posterior malleolus leads to higher incidence of post-traumatic osteoarthritis in trimalleolar fractures","volume":"139","author":"Verhage","year":"2019","journal-title":"Arch Orthop Trauma Surg"},{"issue":"5","key":"10.1016\/j.fas.2025.08.006_bib37","doi-asserted-by":"crossref","first-page":"419","DOI":"10.3113\/FAI-2009-0419","article-title":"Direct visualization for syndesmotic stabilization of ankle fractures","volume":"30","author":"Miller","year":"2009","journal-title":"Foot Ankle Int"},{"issue":"1","key":"10.1016\/j.fas.2025.08.006_bib38","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4055\/cios23229","article-title":"Management of checkrein deformity","volume":"16","author":"Kyung","year":"2024","journal-title":"Clin Orthop Surg"}],"container-title":["Foot and Ankle Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1268773125001936?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1268773125001936?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T12:41:30Z","timestamp":1784896890000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1268773125001936"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":38,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["S1268773125001936"],"URL":"https:\/\/doi.org\/10.1016\/j.fas.2025.08.006","relation":{},"ISSN":["1268-7731"],"issn-type":[{"value":"1268-7731","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Percutaneous anterior to posterior screw fixation via lateral malleolus incision window for Barton\u00ed\u010dek-Rammelt type 4 posterior malleolus fractures","name":"articletitle","label":"Article Title"},{"value":"Foot and Ankle Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.fas.2025.08.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Ltd on behalf of European Foot and Ankle Society.","name":"copyright","label":"Copyright"}]}}