{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T08:58:38Z","timestamp":1782205118958,"version":"3.54.5"},"reference-count":33,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"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":[[2021,1]]},"DOI":"10.1053\/j.jfas.2019.09.043","type":"journal-article","created":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T00:50:32Z","timestamp":1605574232000},"page":"11-16","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Immediate Weightbearing After Operative Treatment of Bimalleolar and Trimalleolar Ankle Fractures: Faster Return to Work for Patients with Nonsedentary Occupations"],"prefix":"10.1053","volume":"60","author":[{"given":"Brian P.","family":"Cunningham","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony J.","family":"Dugarte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dylan L.","family":"McCreary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harsh R.","family":"Parikh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackson S.","family":"Lindell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin R.","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Reams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando A.","family":"Pena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1053\/j.jfas.2019.09.043_bib0001","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1053\/j.jfas.2014.03.011","article-title":"Epidemiology of foot and ankle fractures in the United States: an analysis of the national trauma data bank (2007 to 2011)","volume":"53","author":"Shibuya","year":"2014","journal-title":"J Foot Ankle Surg"},{"key":"10.1053\/j.jfas.2019.09.043_bib0002","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.2019.09.043_bib0003","doi-asserted-by":"crossref","first-page":"1783","DOI":"10.1016\/j.injury.2016.05.011","article-title":"Incidence and risk factors for removal of an internal fixation following surgery for ankle fracture: a retrospective cohort study of 997 patients","volume":"47","author":"Naumann","year":"2016","journal-title":"Injury"},{"key":"10.1053\/j.jfas.2019.09.043_bib0004","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1097\/BOT.0b013e3182460837","article-title":"Operative versus nonoperative treatment of unstable lateral malleolar fractures","volume":"26","author":"Sanders","year":"2012","journal-title":"J Orthop Trauma"},{"key":"10.1053\/j.jfas.2019.09.043_bib0005","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.2019.09.043_bib0006","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1097\/BOT.0b013e31828e1bb7","article-title":"Nonoperative treatment of the medial malleolus in bimalleolar and trimalleolar ankle fractures: a randomized controlled trial","volume":"27","author":"Hoelsbrekken","year":"2013","journal-title":"J Orthop Trauma"},{"key":"10.1053\/j.jfas.2019.09.043_bib0007","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1097\/00005131-200608000-00012","article-title":"Management of displaced ankle fractures","volume":"20","author":"Petrisor","year":"2006","journal-title":"J Orthop Trauma"},{"key":"10.1053\/j.jfas.2019.09.043_bib0008","doi-asserted-by":"crossref","first-page":"205","DOI":"10.2106\/00004623-200302000-00004","article-title":"Use of a cast compared with a functional ankle brace after operative treatment of an ankle fracture. A prospective, randomized study","volume":"85","author":"Lehtonen","year":"2003","journal-title":"J Bone Joint Surg Am"},{"key":"10.1053\/j.jfas.2019.09.043_bib0009","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1007\/s00402-006-0255-x","article-title":"After treatment of malleolar fractures following ORIF\u2014functional compared to protected functional in a vacuum-stabilized orthesis: a randomized controlled trial","volume":"127","author":"Honigmann","year":"2007","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1053\/j.jfas.2019.09.043_bib0010","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1302\/0301-620X.78B3.0780395","article-title":"Postoperative treatment of internally fixed ankle fractures: a prospective randomised study","volume":"78","author":"Van Laarhoven","year":"1996","journal-title":"J Bone Joint Surg Br"},{"key":"10.1053\/j.jfas.2019.09.043_bib0011","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1097\/BOT.0000000000000572","article-title":"Early weightbearing and range of motion versus non-weightbearing and immobilization after open reduction and internal fixation of unstable ankle fractures","volume":"30","author":"Dehghan","year":"2016","journal-title":"J Orthop Trauma"},{"key":"10.1053\/j.jfas.2019.09.043_bib0012","first-page":"360","article-title":"Immediate unprotected weight-bearing of operatively treated ankle fractures","volume":"73","author":"Gul","year":"2007","journal-title":"Acta Orthop Belg"},{"key":"10.1053\/j.jfas.2019.09.043_bib0013","doi-asserted-by":"crossref","first-page":"13","DOI":"10.3113\/FAI.2007.0003","article-title":"Early mobilization in a removable cast compared with immobilization in a cast after operative treatment of ankle fractures: a prospective randomized study","volume":"28","author":"Vioreanu","year":"2007","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2019.09.043_bib0014","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1097\/00003086-199405000-00042","article-title":"Experimental study of the effect of weight bearing on fracture healing in the canine tibia","volume":"302","author":"O'Sullivan","year":"1994","journal-title":"Clin Orthop Relat Res"},{"key":"10.1053\/j.jfas.2019.09.043_bib0015","doi-asserted-by":"crossref","first-page":"535","DOI":"10.3109\/17453678709146394","article-title":"Early weight bearing of displaced ankle fractures","volume":"58","author":"Ahl","year":"1987","journal-title":"Acta Orthop"},{"key":"10.1053\/j.jfas.2019.09.043_bib0016","doi-asserted-by":"crossref","first-page":"95","DOI":"10.3109\/17453679308994541","article-title":"Early mobilization of operated on ankle fractures: prospective, controlled study of 40 bimalleolar cases","volume":"64","author":"Ahl","year":"1993","journal-title":"Acta Orthop"},{"key":"10.1053\/j.jfas.2019.09.043_bib0017","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1097\/00003086-199403000-00025","article-title":"Early postoperative ankle exercise: a study of postoperative lateral malleolar fractures","volume":"300","author":"Hedstrom","year":"1994","journal-title":"Clin Orthop Relat Res"},{"key":"10.1053\/j.jfas.2019.09.043_bib0018","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1302\/0301-620X.82B2 .10039","article-title":"Functional outcome of surgery for fractures of the ankle","volume":"82","author":"Egol","year":"2000","journal-title":"J Bone Joint Surg Br"},{"key":"10.1053\/j.jfas.2019.09.043_bib0019","doi-asserted-by":"crossref","first-page":"666","DOI":"10.3113\/FAI.2009.0666","article-title":"Early mobilization of operatively fixed ankle fractures: a systematic review","volume":"30","author":"Thomas","year":"2009","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2019.09.043_bib0020","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1097\/01.bot.0000197701.96954.8c","article-title":"Functional treatment and early weightbearing after an ankle fracture: a prospective study","volume":"20","author":"Simanski","year":"2006","journal-title":"J Orthop Trauma"},{"key":"10.1053\/j.jfas.2019.09.043_bib0021","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1097\/00132587-200212000-00002","article-title":"Isolated syndesmotic injuries: diastasis of the ankle in the athlete","volume":"1","year":"2002","journal-title":"Tech Foot Ankle Surg"},{"key":"10.1053\/j.jfas.2019.09.043_bib0022","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1007\/s00167-016-4017-1","article-title":"Conservative and surgical management of acute isolated syndesmotic injuries: ESSKA-AFAS consensus and guidelines","volume":"24","author":"van Dijk","year":"2016","journal-title":"Knee Surg Sport Traumatol Arthrosc"},{"key":"10.1053\/j.jfas.2019.09.043_bib0023","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1097\/BCO.0b013e31819b04eb","article-title":"Injuries of the distal lower extremity syndesmosis","volume":"20","author":"Bauer","year":"2009","journal-title":"Curr Orthop Pract"},{"key":"10.1053\/j.jfas.2019.09.043_bib0024","first-page":"1217","article-title":"Tibiotalar contact area and pressure distribution: the effect of mortise widening and syndesmosis fixation","volume":"24","author":"Pereira","year":"1996","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2019.09.043_bib0025","doi-asserted-by":"crossref","first-page":"1833","DOI":"10.1177\/0363546507304666","article-title":"Aggressive surgical treatment and early return to sports in athletes with grade III syndesmosis sprains","volume":"35","author":"Taylor","year":"2007","journal-title":"Am J Sports Med"},{"key":"10.1053\/j.jfas.2019.09.043_bib0026","first-page":"1","article-title":"Early weight bearing on a fixed syndesmosis. Does it matter?","volume":"1","author":"Moco\u00e7ain","year":"2016","journal-title":"Foot Ankle Orthop"},{"key":"10.1053\/j.jfas.2019.09.043_bib0027","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1007\/s11999-013-3099-z","article-title":"Do patients return to work after total knee arthroplasty?","volume":"472","author":"Lombardi","year":"2014","journal-title":"Clin Orthop Relat Res"},{"key":"10.1053\/j.jfas.2019.09.043_bib0028","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1007\/s11552-011-9383-z","article-title":"The epidemiology of upper extremity injuries presenting to the emergency department in the United States","author":"Ootes","year":"2012","journal-title":"Hand (N Y)"},{"key":"10.1053\/j.jfas.2019.09.043_bib0029","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1177\/1071100713519777","article-title":"Economic burden of foot and ankle surgery in the US medicare population","volume":"35","author":"Belatti","year":"2014","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2019.09.043_bib0030","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1055\/s-2002-32474","article-title":"Functional postoperative treatment of internally fixed ankle fractures with a flexible arthrodesis boot (Variostabil)","volume":"140","author":"Biewener","year":"2002","journal-title":"Z Orthop Ihre Grenzgeb"},{"key":"10.1053\/j.jfas.2019.09.043_bib0031","first-page":"10","article-title":"Shorter recovery can be achieved from using walking boot after operative treatment of an ankle fracture","volume":"7","author":"Amaha","year":"2017","journal-title":"Asia-Pacific J Sport Med Arthrosc Rehabil Technol"},{"key":"10.1053\/j.jfas.2019.09.043_bib0032","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1177\/1071100715627351","article-title":"Early weightbearing after operatively treated ankle fractures","volume":"37","author":"Tan","year":"2016","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2019.09.043_bib0033","doi-asserted-by":"crossref","first-page":"23","DOI":"10.2106\/00004623-198971010-00005","article-title":"Early postoperative weight-bearing and muscle activity in patients who have a fracture of the ankle","volume":"71","author":"Finsen","year":"1989","journal-title":"J Bone Joint Surg Am"}],"container-title":["The Journal of Foot and Ankle Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1067251620301307?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1067251620301307?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T05:07:39Z","timestamp":1761023259000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1067251620301307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":33,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["S1067251620301307"],"URL":"https:\/\/doi.org\/10.1053\/j.jfas.2019.09.043","relation":{},"ISSN":["1067-2516"],"issn-type":[{"value":"1067-2516","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Immediate Weightbearing After Operative Treatment of Bimalleolar and Trimalleolar Ankle Fractures: Faster Return to Work for Patients with Nonsedentary Occupations","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.2019.09.043","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 by the American College of Foot and Ankle Surgeons. All rights reserved.","name":"copyright","label":"Copyright"}]}}