{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T01:46:42Z","timestamp":1778464002462,"version":"3.51.4"},"reference-count":18,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Foot"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1016\/j.foot.2025.102191","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T23:31:54Z","timestamp":1755127914000},"page":"102191","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Syndesmotic reduction: What technique is most accurate?"],"prefix":"10.1016","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9335-7698","authenticated-orcid":false,"given":"Calvin J.","family":"Rushing","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.foot.2025.102191_bib1","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1530\/EOR-23-0097","article-title":"A systematic review of studies on the diagnostics and classification system used in surgically treated, acute, isolated, unstable syndesmotic injury: a plea for uniform definition of syndesmotic injuries","volume":"9","author":"Spindler","year":"2024","journal-title":"EFORT Open Rev"},{"key":"10.1016\/j.foot.2025.102191_bib2","doi-asserted-by":"crossref","DOI":"10.1097\/BOT.0b013e31822a526a","article-title":"The functional consequence of syndesmotic joint malreduction at a minimum 2-year follow-up","author":"Sagi","year":"2012","journal-title":"J Orthop Trauma"},{"issue":"2","key":"10.1016\/j.foot.2025.102191_bib3","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1177\/107110070202300205","article-title":"The effects of rotation on radiographic evaluation of the tibiofibular syndesmosis","volume":"23","author":"Pneumaticos","year":"2002","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.foot.2025.102191_bib4","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1097\/01.blo.0000129152.81015.ad","article-title":"Radiographic measurement of the distal tibiofibular syndesmosis has limited use","volume":"423","author":"Beumer","year":"2004","journal-title":"Clin Orthop Relat Res"},{"issue":"6","key":"10.1016\/j.foot.2025.102191_bib5","doi-asserted-by":"crossref","first-page":"616","DOI":"10.3113\/FAI.2011.0616","article-title":"Limitations of standard fluoroscopy in detecting rotational malreduction of the syndesmosis in an ankle fracture model","volume":"32","author":"Marmor","year":"2011","journal-title":"Foot Ankle Int"},{"issue":"11","key":"10.1016\/j.foot.2025.102191_bib6","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1097\/BOT.0b013e31825cf39c","article-title":"Treatment of the stress positive ligamentous SE4 ankle fracture: incidence of syndesmotic injury and clinical decision making","volume":"26","author":"Tornetta","year":"2012","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.foot.2025.102191_bib7","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1097\/BOT.0b013e31825197cb","article-title":"Iatrogenic syndesmosis malreduction via clamp and screw placement","volume":"27","author":"Miller","year":"2013","journal-title":"J Orthop Trauma"},{"issue":"8","key":"10.1016\/j.foot.2025.102191_bib8","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1097\/BOT.0000000000000882","article-title":"Medial clamp tine positioning affects ankle syndesmosis malreduction","volume":"31","author":"Cosgrove","year":"2017","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.foot.2025.102191_bib9","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1053\/j.jfas.2017.05.040","article-title":"Comparison of clamp reduction and manual reduction of syndesmosis in rotational ankle fractures: a prospective randomized trial","volume":"57","author":"Park","year":"2017","journal-title":"J Foot Ankle Surg"},{"issue":"3","key":"10.1016\/j.foot.2025.102191_bib10","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1016\/j.injury.2017.01.029","article-title":"Simulating clamp placement across the trans-syndesmotic angle of the ankle to minimize malreduction: a radiological study","volume":"48","author":"Putnam","year":"2017","journal-title":"Injury"},{"key":"10.1016\/j.foot.2025.102191_bib11","doi-asserted-by":"crossref","first-page":"243","DOI":"10.2106\/JBJS.17.00217","article-title":"Effect of posterior malleolus fracture on syndesmotic reduction","volume":"100","author":"Fitzpatrick","year":"2018","journal-title":"J Bone Jt Surg Am"},{"issue":"9","key":"10.1016\/j.foot.2025.102191_bib12","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1097\/BOT.0000000000000356","article-title":"In vivo syndesmotic overcompression after fixation of ankle fractures with a syndesmotic injury","volume":"29","author":"Cherney","year":"2015","journal-title":"J Orthop Trauma"},{"issue":"3","key":"10.1016\/j.foot.2025.102191_bib13","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1053\/j.jfas.2019.08.028","article-title":"Comparison of different magnitudes of applied syndesmotic clamp force: a cadaveric study","volume":"59","author":"Rushing","year":"2020","journal-title":"J Foot Ankle Surg"},{"issue":"1","key":"10.1016\/j.foot.2025.102191_bib14","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1053\/j.jfas.2021.04.005","article-title":"Proximal placement of the syndesmotic reduction clamp and the optimal position for the medial tine. A cadaveric pilot study","volume":"61","author":"Rushing","year":"2022","journal-title":"J Foot Ankle Surg"},{"key":"10.1016\/j.foot.2025.102191_bib15","doi-asserted-by":"crossref","DOI":"10.1177\/10711007241238227","article-title":"A 3-ligament syndesmotic injury is at higher risk for malreduction than a 2-ligament injury: a CT-based analysis","author":"Spindler","year":"2024","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.foot.2025.102191_bib16","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":"9","key":"10.1016\/j.foot.2025.102191_bib17","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1097\/BOT.0000000000001552","article-title":"Reducing the syndesmosis under direct vision: where should I look?","volume":"33","author":"Tornetta","year":"2019","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.foot.2025.102191_bib18","article-title":"Intraoperative assessment of syndesmotic instability: what technique minimizes surgeon error?","author":"Rushing","year":"2024","journal-title":"Injury"}],"container-title":["The Foot"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0958259225000367?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0958259225000367?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T21:09:46Z","timestamp":1764709786000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0958259225000367"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":18,"alternative-id":["S0958259225000367"],"URL":"https:\/\/doi.org\/10.1016\/j.foot.2025.102191","relation":{},"ISSN":["0958-2592"],"issn-type":[{"value":"0958-2592","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Syndesmotic reduction: What technique is most accurate?","name":"articletitle","label":"Article Title"},{"value":"The Foot","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.foot.2025.102191","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"102191"}}