{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:41:34Z","timestamp":1787499694445,"version":"build-2736575974"},"reference-count":42,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"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":[[2023,5]]},"DOI":"10.1053\/j.jfas.2022.12.004","type":"journal-article","created":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T02:16:33Z","timestamp":1672107393000},"page":"505-510","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":13,"title":["Weber Ankle Fracture Classification System Yields Greatest Interobserver and Intraobserver Reliability Over AO\/OTA and Lauge-Hansen Classification Systems Under Time Constraints in an Asian Population"],"prefix":"10.1053","volume":"62","author":[{"given":"Liau Zi Qiang","family":"Glen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9745-2219","authenticated-orcid":false,"given":"Joel Yat Seng","family":"Wong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei Xuan","family":"Tay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tian Pei","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean Kean Ann","family":"Phua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5739-2955","authenticated-orcid":false,"given":"Ruben","family":"Manohara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu Han","family":"Chee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1053\/j.jfas.2022.12.004_bib0001","doi-asserted-by":"crossref","first-page":"607","DOI":"10.5435\/JAAOS-D-18-00630","article-title":"Lower complication rate following ankle fracture fixation by orthopaedic surgeons versus podiatrists","volume":"27","author":"Chan","year":"2019","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1053\/j.jfas.2022.12.004_bib0002","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1308\/rcsann.2019.0002","article-title":"Fracture admission trends in England over a ten-year period","volume":"101","author":"Jennison","year":"2019","journal-title":"Ann R Coll Surg Engl"},{"key":"10.1053\/j.jfas.2022.12.004_bib0003","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.2022.12.004_bib0004","series-title":"Ankle Fractures","author":"Wire","year":"2020"},{"key":"10.1053\/j.jfas.2022.12.004_bib0005","first-page":"265","article-title":"Ankle fracture treated with the AO principle\u2014an experience with 116 cases","volume":"16","author":"Mak","year":"1985","journal-title":"Inj Int J Care Inj"},{"key":"10.1053\/j.jfas.2022.12.004_bib0006","doi-asserted-by":"crossref","unstructured":"Juto H, M\u00f6ller M, Wennergren D, Edin K, Apelqvista I, Morberg P Substantial accuracy of fracture classification in the Swedish Fracture Register: evaluation of AO\/OTA-classification in 152 ankle fractures. 47, 2016, 2579-2583","DOI":"10.1016\/j.injury.2016.05.028"},{"key":"10.1053\/j.jfas.2022.12.004_bib0007","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1053\/j.jfas.2018.09.028","article-title":"Ankle fracture classification: an innovative system for describing ankle fractures","volume":"58","author":"Briet","year":"2019","journal-title":"J Foot Ankle Surg"},{"key":"10.1053\/j.jfas.2022.12.004_bib0008","series-title":"Die Verletzungen des oberen Sprunggelenkes","author":"Weber","year":"1972"},{"key":"10.1053\/j.jfas.2022.12.004_bib0009","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.1177\/1071100713491730","article-title":"Correlation of AO and Lauge-Hansen classification systems for ankle fractures to the mechanism of injury","volume":"34","author":"Rodriguez","year":"2013","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2022.12.004_bib0010","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1007\/s00256-015-2179-4","article-title":"Interobserver variation in classification of malleolar fractures","volume":"44","author":"Verhage","year":"2015","journal-title":"Skelet Radiol"},{"key":"10.1053\/j.jfas.2022.12.004_bib0011","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.2022.12.004_bib0012","first-page":"e626","article-title":"Evaluating the reliability and reproducibility of the AO and Lauge-Hansen classification systems for ankle injuries","author":"Yin","year":"2015","journal-title":"Orthopedics"},{"key":"10.1053\/j.jfas.2022.12.004_bib0013","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-B","author":"Malek","year":"2006","journal-title":"J Bone Joint Surg Br"},{"key":"10.1053\/j.jfas.2022.12.004_bib0014","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The measurement of observer agreement for categorical data","volume":"33","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"10.1053\/j.jfas.2022.12.004_bib0015","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1590\/2176-9451.19.5.027-030.ebo","article-title":"What is gold standard and what is ground truth?","volume":"19","author":"Cardoso","year":"2014","journal-title":"Dental Press J Orthod"},{"key":"10.1053\/j.jfas.2022.12.004_bib0016","doi-asserted-by":"crossref","first-page":"504","DOI":"10.47102\/annals-acadmedsg.19101","article-title":"Reliability of ankle fracture classification by junior residents and medical students in simulated clinical settings","volume":"49","author":"Liau","year":"2020","journal-title":"Ann Acad Med Singap"},{"key":"10.1053\/j.jfas.2022.12.004_bib0017","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1177\/107110079801900809","article-title":"Ankle fracture classification: a comparison of reliability of three X-ray views versus two","volume":"19","author":"Brage","year":"1998","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2022.12.004_bib0018","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1177\/107110079401500403","article-title":"Radiographic diagnosis of ankle fractures: are three views necessary?","volume":"15","author":"Vangsness","year":"1994","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2022.12.004_bib0019","first-page":"427","article-title":"Principles and guidelines in the management of ankle fractures in adults","volume":"31","author":"Kyriacou","year":"2021","journal-title":"J Perioper Pract"},{"key":"10.1053\/j.jfas.2022.12.004_bib0020","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.radi.2021.07.016","article-title":"Large differences in education and training of radiographers in Europe and Central Asia: results from an IAEA coordinated study","volume":"28","author":"Foley","year":"2022","journal-title":"Radiography (Lond)"},{"key":"10.1053\/j.jfas.2022.12.004_bib0021","first-page":"7","article-title":"Challenges of training and clinical skill acquisition in radiography education: perceptions of students in resource-poor southeastern Nigeria","volume":"54","author":"Ohagwu","year":"2016","journal-title":"South Afr Radiogr"},{"key":"10.1053\/j.jfas.2022.12.004_bib0022","doi-asserted-by":"crossref","first-page":"956","DOI":"10.3113\/FAI.2012.0956","article-title":"Variability in radiographic medial clear space measurement of the normal weight-bearing ankle","volume":"33","author":"Murphy","year":"2012","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2022.12.004_bib0023","doi-asserted-by":"crossref","first-page":"1691","DOI":"10.2214\/ajr.174.6.1741691","article-title":"Contribution of individual projections alone and in combination for radiographic detection of ankle fractures","volume":"174","author":"Brandser","year":"2000","journal-title":"AJR Am J Roentgenol"},{"key":"10.1053\/j.jfas.2022.12.004_bib0024","first-page":"129","article-title":"Limiting the use of routine radiography for acute ankle injuries","volume":"129","author":"Cockshott","year":"1983","journal-title":"Can Med Assoc J"},{"key":"10.1053\/j.jfas.2022.12.004_bib0025","series-title":"Core Topics in Foot and Ankle Surgery","first-page":"359","article-title":"Fractures and dislocations of the ankle","author":"Thuillier","year":"2018"},{"key":"10.1053\/j.jfas.2022.12.004_bib0026","unstructured":"Barbosa P, Bonnaire F, Kojima K. Suprasyndesmotic, simple fibular fracture, medial injury, +\/- posterior fracture. AO Surgery Reference. Available at: https:\/\/surgeryreference.aofoundation.org\/orthopedic-trauma\/adult-trauma\/malleoli\/suprasyndesmotic-simple-fibular-fracture-medial-injury-posterior-fracture\/definition, Accessed October 30, 2022."},{"key":"10.1053\/j.jfas.2022.12.004_bib0027","first-page":"377","article-title":"Fractures of the ankle joint: investigation and treatment options","volume":"111","author":"Goost","year":"2014","journal-title":"Deutsch \u00c4rztebl Int"},{"key":"10.1053\/j.jfas.2022.12.004_bib0028","unstructured":"Lim J Public hospitals working with MOH to ease patient loads at emergency depts amid latest COVID-19 wave. The Straits Times. Available at:https:\/\/www.straitstimes.com\/singapore\/health\/healthcare-authorities-working-to-ease-patient-loads-in-emergency-departments-amid-covid-19-surge, Published October 21, 2022, Accessed October 30, 2022."},{"key":"10.1053\/j.jfas.2022.12.004_bib0029","unstructured":"Khalik S Bed crunch at Singapore hospitals: Some patients are stuck in emergency departments. The Straits Times. Available at:https:\/\/www.straitstimes.com\/singapore\/bed-crunch-at-singapore-hospitals-some-patients-are-stuck-in-emergency-departments, Published October 20, 2022, Accessed October 30, 2022."},{"key":"10.1053\/j.jfas.2022.12.004_bib0030","unstructured":"Lim V Longer waiting times at hospitals with some patients told to wait up to 50 hours for a bed. Channel News Asia. Retrieved fromhttps:\/\/www.channelnewsasia.com\/singapore\/hospitals-beds-waiting-time-50-hours-admission-ng-teng-fong-sengkang-3014596, Publised October 20, 2022, Accessed October 30, 2022."},{"key":"10.1053\/j.jfas.2022.12.004_bib0031","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1177\/1071100717709576","article-title":"Economic burden of inpatient admission of ankle fractures","volume":"38","author":"Stull","year":"2017","journal-title":"Foot Ankle Int"},{"key":"10.1053\/j.jfas.2022.12.004_bib0032","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.2022.12.004_bib0033","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1046\/j.1467-789X.2002.00065.x","article-title":"Asians are different from Caucasians and from each other in their body mass index\/body fat per cent relationship","volume":"3","author":"Deurenberg","year":"2002","journal-title":"Obes Rev"},{"key":"10.1053\/j.jfas.2022.12.004_bib0034","doi-asserted-by":"crossref","first-page":"10515","DOI":"10.1038\/s41598-019-46960-9","article-title":"Ancient origins of low lean mass among South Asians and implications for modern type 2 diabetes susceptibility","volume":"9","author":"Pomeroy","year":"2019","journal-title":"Sci Rep"},{"key":"10.1053\/j.jfas.2022.12.004_bib0035","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/bs.afnr.2015.07.001","article-title":"Body composition in Asians and Caucasians: comparative analyses and influences on cardiometabolic outcomes","volume":"75","author":"Haldar","year":"2015","journal-title":"Adv Food Nutr Res"},{"key":"10.1053\/j.jfas.2022.12.004_bib0036","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.bone.2016.07.018","article-title":"Ethnic differences in bone geometry between White, Black and South Asian men in the UK","volume":"91","author":"Zengin","year":"2016","journal-title":"Bone"},{"key":"10.1053\/j.jfas.2022.12.004_bib0037","doi-asserted-by":"crossref","first-page":"14009","DOI":"10.1038\/boneres.2014.9","article-title":"The Chinese skeleton: insights into microstructure that help to explain the epidemiology of fracture","volume":"2","author":"Cong","year":"2014","journal-title":"Bone Res"},{"key":"10.1053\/j.jfas.2022.12.004_bib0038","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.rbo.2017.03.006","article-title":"Reproducibility of the Lauge-Hansen, Danis-Weber, and AO classifications for ankle fractures","volume":"53","author":"Fonseca","year":"2018","journal-title":"Rev Brasil Ortop (English Ed)"},{"key":"10.1053\/j.jfas.2022.12.004_bib0039","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1097\/00005131-199805000-00011","article-title":"Effects of binary decision making on the classification of fractures of the ankle","volume":"12","author":"Craig","year":"1998","journal-title":"J Orthop Trauma"},{"key":"10.1053\/j.jfas.2022.12.004_bib0040","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.2022.12.004_bib0041","doi-asserted-by":"crossref","first-page":"445","DOI":"10.4103\/0019-5413.139829","article-title":"Understanding risks and complications in the management of ankle fractures","volume":"48","author":"Mehta","year":"2014","journal-title":"Indian J Orthop"},{"key":"10.1053\/j.jfas.2022.12.004_bib0042","doi-asserted-by":"crossref","first-page":"1670","DOI":"10.1016\/j.injury.2017.04.053","article-title":"Standardised virtual fracture clinic management of radiographically stable Weber B ankle fractures is safe, cost effective and reproducible","volume":"48","author":"Bellringer","year":"2017","journal-title":"Injury"}],"container-title":["The Journal of Foot and Ankle Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1067251622003714?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1067251622003714?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T05:13:45Z","timestamp":1761023625000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1067251622003714"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":42,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["S1067251622003714"],"URL":"https:\/\/doi.org\/10.1053\/j.jfas.2022.12.004","relation":{},"ISSN":["1067-2516"],"issn-type":[{"value":"1067-2516","type":"print"}],"subject":[],"published":{"date-parts":[[2023,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Weber Ankle Fracture Classification System Yields Greatest Interobserver and Intraobserver Reliability Over AO\/OTA and Lauge-Hansen Classification Systems Under Time Constraints in an Asian Population","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.2022.12.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 by the American College of Foot and Ankle Surgeons. All rights reserved.","name":"copyright","label":"Copyright"}]}}