{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T01:26:42Z","timestamp":1791595602418,"version":"4.3.4"},"reference-count":40,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"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","jfas.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Foot and Ankle Surgery"],"published-print":{"date-parts":[[2017,3]]},"DOI":"10.1053\/j.jfas.2016.10.008","type":"journal-article","created":{"date-parts":[[2016,12,29]],"date-time":"2016-12-29T12:19:46Z","timestamp":1483013986000},"page":"314-318","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Association of Body Mass Index With the Pattern of Surgically Treated Ankle Fractures Using Two Different Classification Systems"],"prefix":"10.1053","volume":"56","author":[{"given":"Knut","family":"Stavem","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus G.","family":"Naumann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulf","family":"Sigurdsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stein Erik","family":"Utv\u00e5g","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1053\/j.jfas.2016.10.008_bib1","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","article-title":"Epidemiology of adult fractures: a review","volume":"37","author":"Court-Brown","year":"2006","journal-title":"Injury"},{"key":"10.1053\/j.jfas.2016.10.008_bib2","doi-asserted-by":"crossref","first-page":"48","DOI":"10.3109\/17453679809002356","article-title":"Epidemiology of ankle fractures: a prospective population-based study of 212 cases in Aalborg, Denmark","volume":"69","author":"Jensen","year":"1998","journal-title":"Acta Orthop Scand"},{"key":"10.1053\/j.jfas.2016.10.008_bib3","doi-asserted-by":"crossref","first-page":"539","DOI":"10.3109\/17453678709146395","article-title":"Epidemiology of ankle fractures in Rochester, Minnesota","volume":"58","author":"Daly","year":"1987","journal-title":"Acta Orthop Scand"},{"key":"10.1053\/j.jfas.2016.10.008_bib4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/jbmr.1486","article-title":"Obesity and fracture in men and women: an epidemiologic perspective","volume":"27","author":"Nielson","year":"2012","journal-title":"J Bone Miner Res"},{"key":"10.1053\/j.jfas.2016.10.008_bib5","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.jbspin.2012.07.016","article-title":"Obesity and fractures","volume":"80","author":"Compston","year":"2013","journal-title":"Joint Bone Spine"},{"key":"10.1053\/j.jfas.2016.10.008_bib6","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.ocl.2010.07.003","article-title":"Ankle injuries and fractures in the obese patient","volume":"42","author":"Chaudhry","year":"2011","journal-title":"Orthop Clin North Am"},{"key":"10.1053\/j.jfas.2016.10.008_bib7","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.1007\/s00198-005-1863-y","article-title":"Body mass index as a predictor of fracture risk: a meta-analysis","volume":"16","author":"De Laet","year":"2005","journal-title":"Osteoporos Int"},{"key":"10.1053\/j.jfas.2016.10.008_bib8","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/s00198-004-1640-3","article-title":"Smoking and fracture risk: a meta-analysis","volume":"16","author":"Kanis","year":"2005","journal-title":"Osteoporos Int"},{"key":"10.1053\/j.jfas.2016.10.008_bib9","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1007\/s00198-006-0137-7","article-title":"Risk factors for fragility fracture in middle age: a prospective population-based study of 33,000 men and women","volume":"17","author":"Holmberg","year":"2006","journal-title":"Osteoporos Int"},{"key":"10.1053\/j.jfas.2016.10.008_bib10","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1016\/j.amjmed.2011.06.013","article-title":"Obesity is not protective against fracture in postmenopausal women: GLOW","volume":"124","author":"Compston","year":"2011","journal-title":"Am J Med"},{"key":"10.1053\/j.jfas.2016.10.008_bib11","doi-asserted-by":"crossref","first-page":"1559","DOI":"10.1002\/jbmr.2826","article-title":"The effects of age, adiposity, and physical activity on the risk of seven site-specific fractures in postmenopausal women","volume":"31","author":"Lacombe","year":"2016","journal-title":"J Bone Miner Res"},{"key":"10.1053\/j.jfas.2016.10.008_bib12","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.1016\/j.bone.2012.03.014","article-title":"Different effects of age, adiposity and physical activity on the risk of ankle, wrist and hip fractures in postmenopausal women","volume":"50","author":"Armstrong","year":"2012","journal-title":"Bone"},{"key":"10.1053\/j.jfas.2016.10.008_bib13","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1001\/jama.2010.1112","article-title":"Trends and characteristics of US emergency department visits, 1997-2007","volume":"304","author":"Tang","year":"2010","journal-title":"JAMA"},{"key":"10.1053\/j.jfas.2016.10.008_bib14","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1053\/j.jfas.2016.03.010","article-title":"Predictors of adverse events for ankle fractures: an analysis of 6800 patients","volume":"55","author":"Dodd","year":"2016","journal-title":"J Foot Ankle Surg"},{"key":"10.1053\/j.jfas.2016.10.008_bib15","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/S0020-1383(96)00136-2","article-title":"\u201cThe bigger they come\u2026\u201d: the relationship between body mass index and severity of ankle fractures","volume":"27","author":"Spaine","year":"1996","journal-title":"Injury"},{"key":"10.1053\/j.jfas.2016.10.008_bib16","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1053\/j.jfas.2012.05.016","article-title":"Association between ankle fractures and obesity","volume":"51","author":"King","year":"2012","journal-title":"J Foot Ankle Surg"},{"key":"10.1053\/j.jfas.2016.10.008_bib17","doi-asserted-by":"crossref","first-page":"225","DOI":"10.2298\/VSP1003225T","article-title":"[Possible factors for ankle fractures]","volume":"67","author":"Tabakovic","year":"2010","journal-title":"Vojnosanit Pregl"},{"key":"10.1053\/j.jfas.2016.10.008_bib18","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/00005131-200711101-00001","article-title":"Fracture and dislocation classification compendium\u20142007: Orthopaedic Trauma Association classification, database and outcomes committee","volume":"21","author":"Marsh","year":"2007","journal-title":"J Orthop Trauma"},{"key":"10.1053\/j.jfas.2016.10.008_bib19","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1302\/0301-620X.89B6.18356","article-title":"Does obesity influence the outcome after the operative treatment of ankle fractures","volume":"89","author":"Strauss","year":"2007","journal-title":"J Bone Joint Surg Br"},{"key":"10.1053\/j.jfas.2016.10.008_bib20","series-title":"Die Verletzungen des oberen Sprunggelenkes","author":"Weber","year":"1972"},{"key":"10.1053\/j.jfas.2016.10.008_bib21","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1001\/archsurg.1950.01250010980011","article-title":"Fractures of the ankle: II. Combined experimental-surgical and experimental-roentgenologic investigations","volume":"60","author":"Lauge-Hansen","year":"1950","journal-title":"Arch Surg"},{"key":"10.1053\/j.jfas.2016.10.008_bib22","doi-asserted-by":"crossref","first-page":"385","DOI":"10.3109\/17453679008993545","article-title":"Lauge-Hansen classification of malleolar fractures: an assessment of the reproducibility in 118 cases","volume":"61","author":"Nielsen","year":"1990","journal-title":"Acta Orthop Scand"},{"key":"10.1053\/j.jfas.2016.10.008_bib23","first-page":"309","article-title":"A new and easy classification system for ankle fractures","volume":"77","author":"Broos","year":"1992","journal-title":"Int Surg"},{"key":"10.1053\/j.jfas.2016.10.008_bib24","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1097\/BOT.0b013e318059aea3","article-title":"Clinical utility of a stability-based ankle fracture classification system","volume":"21","author":"Michelson","year":"2007","journal-title":"J Orthop Trauma"},{"key":"10.1053\/j.jfas.2016.10.008_bib25","doi-asserted-by":"crossref","first-page":"141","DOI":"10.3113\/FAI.2011.0141","article-title":"Stability criteria for nonoperative ankle fracture management","volume":"32","author":"Pakarinen","year":"2011","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2016.10.008_bib26","unstructured":"World Health Organization. International Statistical Classification of Diseases and Related Health Problems, 10th Revision version: 2010. Available at: http:\/\/apps.who.int\/classifications\/icd10\/browse\/2010\/en. Accessed November 6, 2016."},{"key":"10.1053\/j.jfas.2016.10.008_bib27","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1053\/j.jfas.2009.02.005","article-title":"Operative outcome of 41 ankle fractures: a retrospective analysis","volume":"48","author":"Still","year":"2009","journal-title":"J Foot Ankle Surg"},{"key":"10.1053\/j.jfas.2016.10.008_bib28","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1210\/jcem.86.1.7139","article-title":"Older women with diabetes have an increased risk of fracture: a prospective study","volume":"86","author":"Schwartz","year":"2001","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1053\/j.jfas.2016.10.008_bib29","doi-asserted-by":"crossref","first-page":"2057","DOI":"10.1007\/s00125-014-3289-6","article-title":"Fracture risk in diabetic elderly men: the MrOS study","volume":"57","author":"Napoli","year":"2014","journal-title":"Diabetologia"},{"key":"10.1053\/j.jfas.2016.10.008_bib30","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1111\/j.1365-2796.2003.01232.x","article-title":"Fracture risk associated with smoking: a meta-analysis","volume":"254","author":"Vestergaard","year":"2003","journal-title":"J Intern Med"},{"key":"10.1053\/j.jfas.2016.10.008_bib31","doi-asserted-by":"crossref","first-page":"820","DOI":"10.2106\/00004623-200305000-00008","article-title":"Foot and ankle fractures in elderly white women: incidence and risk factors","volume":"85","author":"Hasselman","year":"2003","journal-title":"J Bone Joint Surg Am"},{"key":"10.1053\/j.jfas.2016.10.008_bib32","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1302\/0301-620X.88B9.17954","article-title":"Inter-observer reliability and intra-observer reproducibility of the Weber classification of ankle fractures","volume":"88","author":"Malek","year":"2006","journal-title":"J Bone Joint Surg Br"},{"key":"10.1053\/j.jfas.2016.10.008_bib33","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1302\/0301-620X.79B5.0790706","article-title":"Taxonomy and treatment\u2014a classification of fracture classifications","volume":"79","author":"Bernstein","year":"1997","journal-title":"J Bone Joint Surg Br"},{"key":"10.1053\/j.jfas.2016.10.008_bib34","doi-asserted-by":"crossref","first-page":"1743","DOI":"10.2106\/00004623-199312000-00001","article-title":"Fracture classification systems: do they work and are they useful?","volume":"75","author":"Burstein","year":"1993","journal-title":"J Bone Joint Surg Am"},{"key":"10.1053\/j.jfas.2016.10.008_bib35","series-title":"The Comprehensive Classification of Fractures of Long Bones","first-page":"4","article-title":"Principles of the classification of fractures","author":"M\u00fcller","year":"1990"},{"key":"10.1053\/j.jfas.2016.10.008_bib36","first-page":"521","article-title":"Ankle fracture classification: an evaluation of three classification systems: Lauge-Hansen, A.O. and Broos-Bisschop","volume":"76","author":"Alexandropoulos","year":"2010","journal-title":"Acta Orthop Belg"},{"key":"10.1053\/j.jfas.2016.10.008_bib37","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/S0020-1383(98)00116-8","article-title":"An evaluation of the Weber classification of ankle fractures","volume":"29","author":"Kennedy","year":"1998","journal-title":"Injury"},{"key":"10.1053\/j.jfas.2016.10.008_bib38","doi-asserted-by":"crossref","first-page":"3323","DOI":"10.1007\/s11999-015-4306-x","article-title":"Classifications in brief: Lauge-Hansen classification of ankle fractures","volume":"473","author":"Tartaglione","year":"2015","journal-title":"Clin Orthop Relat Res"},{"key":"10.1053\/j.jfas.2016.10.008_bib39","first-page":"1629","article-title":"Divergent effects of obesity on fragility fractures","volume":"9","author":"Caffarelli","year":"2014","journal-title":"Clin Interv Aging"},{"key":"10.1053\/j.jfas.2016.10.008_bib40","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1002\/jbmr.2747","article-title":"A high amount of local adipose tissue is associated with high cortical porosity and low bone material strength in older women","volume":"31","author":"Sundh","year":"2016","journal-title":"J Bone Miner Res"}],"container-title":["The Journal of Foot and Ankle Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S106725161630312X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S106725161630312X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T05:01:58Z","timestamp":1761022918000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S106725161630312X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3]]},"references-count":40,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["S106725161630312X"],"URL":"https:\/\/doi.org\/10.1053\/j.jfas.2016.10.008","relation":{},"ISSN":["1067-2516"],"issn-type":[{"value":"1067-2516","type":"print"}],"subject":[],"published":{"date-parts":[[2017,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Association of Body Mass Index With the Pattern of Surgically Treated Ankle Fractures Using Two Different Classification Systems","name":"articletitle","label":"Article Title"},{"value":"The Journal of Foot and Ankle Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1053\/j.jfas.2016.10.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 by the American College of Foot and Ankle Surgeons. All rights reserved.","name":"copyright","label":"Copyright"}]}}