{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T16:56:23Z","timestamp":1775494583654,"version":"3.50.1"},"reference-count":47,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"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":[[2022,3]]},"DOI":"10.1053\/j.jfas.2021.07.017","type":"journal-article","created":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T08:10:51Z","timestamp":1627027851000},"page":"253-258","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Comparison of Fixation Techniques in Oblique and Biplanar Chevron Medial Malleolar Osteotomies; a Finite Element Analysis"],"prefix":"10.1053","volume":"61","author":[{"given":"Ali","family":"Levent","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Metin","family":"Yapti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. Kursat","family":"Celik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ozkan","family":"Kose","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O. Faruk","family":"Kilicaslan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allan E.W.","family":"Rennie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1053\/j.jfas.2021.07.017_bib0001","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1016\/S1083-7515(02)00037-2","article-title":"Approach alternatives for treatment of osteochondral lesions of the talus","volume":"7","author":"Navid","year":"2002","journal-title":"Foot Ankle Clin"},{"key":"10.1053\/j.jfas.2021.07.017_bib0002","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1177\/0363546505281236","article-title":"The effect of angled osteochondral grafting on contact pressure: a biomechanical study","volume":"34","author":"Koh","year":"2006","journal-title":"Am J Sports Med"},{"key":"10.1053\/j.jfas.2021.07.017_bib0003","doi-asserted-by":"crossref","first-page":"1457","DOI":"10.1177\/0363546506287296","article-title":"Talar dome access for osteochondral lesions","volume":"34","author":"Muir","year":"2006","journal-title":"Am J Sports Med"},{"key":"10.1053\/j.jfas.2021.07.017_bib0004","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1177\/107110079101100413","article-title":"Step-cut osteotomy of the medial malleolus for exposure of the medial ankle joint space","volume":"11","author":"Alexander","year":"1991","journal-title":"Foot Ankle"},{"key":"10.1053\/j.jfas.2021.07.017_bib0005","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1097\/00132587-200212000-00011","article-title":"Chevron-type transmalleolar osteotomy: an approach to medial talar dome lesions","volume":"1","author":"Cohen","year":"2002","journal-title":"Tech Foot Ankle Surg"},{"key":"10.1053\/j.jfas.2021.07.017_bib0006","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.3113\/FAI.2008.1107","article-title":"Modified step-cut medial malleolar osteotomy for osteochondral grafting of the talus","volume":"29","author":"Lee","year":"2008","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2021.07.017_bib0007","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1016\/S1067-2516(98)80029-X","article-title":"Oblique medial malleolar osteotomy for the management of talar dome lesions","volume":"37","author":"Mendicino","year":"1998","journal-title":"J Foot Ankle Surg"},{"key":"10.1053\/j.jfas.2021.07.017_bib0008","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1177\/107110070102201013","article-title":"Medial malleolar window approach for osteochondral lesions of the talus","volume":"22","author":"Oznur","year":"2001","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2021.07.017_bib0009","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1302\/0301-620X.64B4.7096430","article-title":"Osteochondritis dissecans of the talus. The late results of surgical treatment","volume":"64","author":"O'Farrell","year":"1982","journal-title":"J Bone Joint Surg Br"},{"key":"10.1053\/j.jfas.2021.07.017_bib0010","first-page":"697","article-title":"Osteochondritis dissecans of the talus","volume":"29","author":"Ray","year":"1947","journal-title":"J Bone Joint Surg Am"},{"key":"10.1053\/j.jfas.2021.07.017_bib0011","first-page":"68","article-title":"Transchondral fractures of the dome of the talus","volume":"25","author":"Spatt","year":"1986","journal-title":"J Foot Surg"},{"key":"10.1053\/j.jfas.2021.07.017_bib0012","first-page":"389","article-title":"Crescentic transmalleolar osteotomy for optimal exposure of the medial talar dome","volume":"28","author":"Wallen","year":"1989","journal-title":"J Foot Surg"},{"key":"10.1053\/j.jfas.2021.07.017_bib0013","article-title":"Limitations of accessibility of the talar dome with different open surgical approaches","author":"Sripanich","year":"2020","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1053\/j.jfas.2021.07.017_bib0014","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1177\/1071100716628912","article-title":"Rate of malunion following bi-plane chevron medial malleolar osteotomy","volume":"37","author":"Bull","year":"2016","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2021.07.017_bib0015","doi-asserted-by":"crossref","first-page":"2133","DOI":"10.1007\/s00167-015-3591-y","article-title":"Medial malleolar osteotomy for the treatment of talar osteochondral lesions: anatomical and morbidity considerations","volume":"24","author":"Leumann","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1053\/j.jfas.2021.07.017_bib0016","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1177\/1938640014546862","article-title":"Contribution of the medial malleolus to tibiotalar joint contact characteristics","volume":"8","author":"Lareau","year":"2015","journal-title":"Foot Ankle Spec"},{"key":"10.1053\/j.jfas.2021.07.017_bib0017","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1177\/1947603511400726","article-title":"The treatment of osteochondral lesions of the talus with autologous osteochondral transplantation and bone marrow aspirate concentrate: surgical technique","volume":"2","author":"Kennedy","year":"2011","journal-title":"Cartilage"},{"key":"10.1053\/j.jfas.2021.07.017_bib0018","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.1007\/s00167-012-2050-2","article-title":"Chevron-type medial malleolar osteotomy: a functional, radiographic and quantitative T2-mapping MRI analysis","volume":"21","author":"Lamb","year":"2013","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1053\/j.jfas.2021.07.017_bib0019","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1007\/s00402-010-1227-8","article-title":"Direction of the oblique medial malleolar osteotomy for exposure of the talus","volume":"131","author":"van Bergen","year":"2011","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1053\/j.jfas.2021.07.017_bib0020","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","volume":"330","author":"Wang","year":"1996","journal-title":"Clin Orthop Relat Res"},{"key":"10.1053\/j.jfas.2021.07.017_bib0021","doi-asserted-by":"crossref","first-page":"23","DOI":"10.4028\/www.scientific.net\/JBBBE.41.23","article-title":"A comparison of friction measurements of intact articular cartilage in contact with cartilage, glass, and metal","volume":"41","author":"Hayden","year":"2019","journal-title":"J Biomimetics Biomater Biomed Eng"},{"key":"10.1053\/j.jfas.2021.07.017_bib0022","doi-asserted-by":"crossref","DOI":"10.1098\/rsif.2019.0259","article-title":"Biomechanical behaviours of the bone-implant interface: a review","volume":"16","author":"Gao","year":"2019","journal-title":"J R Soc Interface"},{"key":"10.1053\/j.jfas.2021.07.017_bib0023","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1097\/00003086-197211000-00030","article-title":"Plate-bone friction in the compression fixation of fractures","volume":"89","author":"Hayes","year":"1972","journal-title":"Clin Orthop Relat Res"},{"key":"10.1053\/j.jfas.2021.07.017_bib0024","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1243\/09544119JEIM799","article-title":"A biomechanical evaluation of orthopaedic implants for hip fractures by finite element analysis and in-vitro tests","volume":"224","author":"Eberle","year":"2010","journal-title":"Proc Inst Mech Eng H"},{"key":"10.1053\/j.jfas.2021.07.017_bib0025","first-page":"33","article-title":"Fixation of distal fibular fractures: a biomechanical study of plate fixation techniques","volume":"19","author":"Marvan","year":"2017","journal-title":"Acta Bioeng Biomech"},{"key":"10.1053\/j.jfas.2021.07.017_bib0026","doi-asserted-by":"crossref","first-page":"2829","DOI":"10.1016\/j.jbiomech.2012.08.034","article-title":"Orientation dependence of progressive post-yield behavior of human cortical bone in compression","volume":"45","author":"Dong","year":"2012","journal-title":"J Biomech"},{"key":"10.1053\/j.jfas.2021.07.017_bib0027","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/978-3-031-02579-2","article-title":"Fundamental biomechanics in bone tissue engineering","volume":"2","author":"Wang","year":"2010","journal-title":"Synth Lect Tissue Eng."},{"key":"10.1053\/j.jfas.2021.07.017_bib0028","doi-asserted-by":"crossref","first-page":"2109","DOI":"10.1016\/j.compstruct.2009.09.051","article-title":"The finite element analysis of a fractured tibia applied by composite bone plates considering contact conditions and time-varying properties of curing tissues","volume":"92","author":"Kim","year":"2010","journal-title":"Compos Struct"},{"key":"10.1053\/j.jfas.2021.07.017_bib0029","doi-asserted-by":"crossref","first-page":"2115","DOI":"10.1515\/amm-2015-0356","article-title":"Finite element analysis of large deformation of articular cartilage in upper ankle joint of occupant in military vehicles during explosion","volume":"60","author":"Klekiel","year":"2015","journal-title":"Arch Metal Mater"},{"key":"10.1053\/j.jfas.2021.07.017_bib0030","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s13047-017-0194-5","article-title":"3-D computer modelling of malunited posterior malleolar fractures: effect of fragment size and offset on ankle stability, contact pressure and pattern","volume":"10","author":"Alonso-Rasgado","year":"2017","journal-title":"J Foot Ankle Res"},{"key":"10.1053\/j.jfas.2021.07.017_bib0031","doi-asserted-by":"crossref","first-page":"1662","DOI":"10.1016\/j.jbiomech.2007.01.024","article-title":"Physical validation of a patient specific contact finite element model of the ankle","volume":"40","author":"Anderson","year":"2007","journal-title":"J Biomech"},{"key":"10.1053\/j.jfas.2021.07.017_bib0032","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1186\/s12891-016-0954-6","article-title":"Posterolateral ankle ligament injuries affect ankle stability: a finite element study","volume":"17","author":"Zhu","year":"2016","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1053\/j.jfas.2021.07.017_bib0033","series-title":"Recent Advances in Arthroplasty","first-page":"149","article-title":"Titanium as a biomaterial for implants","author":"Oldani","year":"2012"},{"key":"10.1053\/j.jfas.2021.07.017_bib0034","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/j.msec.2014.03.057","article-title":"Creep of trabecular bone from the human proximal tibia","volume":"40","author":"Novitskaya","year":"2014","journal-title":"Mater Sci Eng C Mater Biol Appl"},{"key":"10.1053\/j.jfas.2021.07.017_bib0035","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/j.clinbiomech.2005.01.010","article-title":"Extracting clinically relevant data from finite element simulations","volume":"20","author":"Viceconti","year":"2005","journal-title":"Clin Biomech"},{"key":"10.1053\/j.jfas.2021.07.017_bib0036","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1302\/0301-620X.79B6.0790995","article-title":"Age variations in the properties of human tibial trabecular bone","volume":"79","author":"Ding","year":"1997","journal-title":"J Bone Joint Surg Br"},{"key":"10.1053\/j.jfas.2021.07.017_bib0037","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1243\/EMED_JOUR_1988_017_020_02","article-title":"Strength pattern of cancellous bone at the ankle joint","volume":"17","author":"Jensen","year":"1988","journal-title":"Eng Med"},{"key":"10.1053\/j.jfas.2021.07.017_bib0038","first-page":"133","article-title":"Modelling of damping properties of articular cartilage during impact load","volume":"65","author":"Klekiel","year":"2017","journal-title":"Eng Trans"},{"key":"10.1053\/j.jfas.2021.07.017_bib0039","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1146\/annurev-bioeng-062117-121139","article-title":"Bone mechanical properties in healthy and diseased states","volume":"20","author":"Morgan","year":"2018","journal-title":"Annu Rev Biomed Eng"},{"key":"10.1053\/j.jfas.2021.07.017_bib0040","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.medengphy.2018.11.003","article-title":"Finite element analysis of knee and ankle joint during gait based on motion analysis","volume":"63","author":"Park","year":"2019","journal-title":"Med Eng Phys"},{"key":"10.1053\/j.jfas.2021.07.017_bib0041","doi-asserted-by":"crossref","first-page":"S119","DOI":"10.1088\/0967-3334\/26\/2\/012","article-title":"Prediction of mechanical properties of human trabecular bone by electrical measurements","volume":"26","author":"Sierpowska","year":"2005","journal-title":"Physiol Meas"},{"key":"10.1053\/j.jfas.2021.07.017_bib0042","unstructured":"Barbosa P, Bonnaire F, Kojima K. ORIF for Infrasyndesmotic, medial fracture with lateral fracture\/avulsion. 2020. Available at:https:\/\/surgeryreference.aofoundation.org\/orthopedic-trauma\/adult-trauma\/malleoli\/infrasyndesmotic-medial-fracture-with-lateral-fracture-avulsion\/orif. Accessed September 15, 2020."},{"key":"10.1053\/j.jfas.2021.07.017_bib0043","doi-asserted-by":"crossref","first-page":"1662","DOI":"10.1302\/0301-620X.95B12.30498","article-title":"Screw fixation of medial malleolar fractures: a cadaveric biomechanical study challenging the current AO philosophy","volume":"95-B","author":"Parker","year":"2013","journal-title":"Bone Joint J"},{"key":"10.1053\/j.jfas.2021.07.017_bib0044","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1053\/j.jfas.2010.02.006","article-title":"Comparison of pullout strength between 3.5-mm fully threaded, bicortical screws and 4.0-mm partially threaded, cancellous screws in the fixation of medial malleolar fractures","volume":"49","author":"Pollard","year":"2010","journal-title":"J Foot Ankle Surg"},{"key":"10.1053\/j.jfas.2021.07.017_bib0045","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1055\/s-2008-1039773","article-title":"Postoperative rating of osteochondritis dissecans of the talus with special respect to medial malleolar osteotomy","volume":"134","author":"Gaulrapp","year":"1996","journal-title":"Z Orthop Ihre Grenzgeb"},{"key":"10.1053\/j.jfas.2021.07.017_bib0046","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1177\/1938640012474035","article-title":"Exposure of the medial talar dome: bi-plane chevron medial malleolus osteotomy","volume":"6","author":"Granata","year":"2013","journal-title":"Foot Ankle Spec"},{"key":"10.1053\/j.jfas.2021.07.017_bib0047","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/j.apmr.2004.03.031","article-title":"A 3-dimensional finite element model of the human foot and ankle for insole design","volume":"86","author":"Cheung","year":"2005","journal-title":"Arch Phys Med Rehabil"}],"container-title":["The Journal of Foot and Ankle Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1067251621002714?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1067251621002714?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T05:10:05Z","timestamp":1761023405000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1067251621002714"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":47,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["S1067251621002714"],"URL":"https:\/\/doi.org\/10.1053\/j.jfas.2021.07.017","relation":{},"ISSN":["1067-2516"],"issn-type":[{"value":"1067-2516","type":"print"}],"subject":[],"published":{"date-parts":[[2022,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Comparison of Fixation Techniques in Oblique and Biplanar Chevron Medial Malleolar Osteotomies; a Finite Element Analysis","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.2021.07.017","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 by the American College of Foot and Ankle Surgeons. All rights reserved.","name":"copyright","label":"Copyright"}]}}