{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:02:16Z","timestamp":1787317336569,"version":"build-2736575974"},"reference-count":26,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"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":[[2025,11]]},"DOI":"10.1053\/j.jfas.2025.06.010","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T18:00:56Z","timestamp":1752602456000},"page":"812-819","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["The role of deltoid ligament repair in Weber B and C ankle fractures: A systematic review and meta-analysis of clinical, functional and radiographic results"],"prefix":"10.1053","volume":"64","author":[{"given":"Giulia","family":"D\u2019Andrea","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Colombo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7101-0404","authenticated-orcid":false,"given":"Giacomo","family":"Placella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Salini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6741-3713","authenticated-orcid":false,"given":"Mattia","family":"Alessio-Mazzola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1053\/j.jfas.2025.06.010_bib0001","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1053\/j.jfas.2014.12.013","article-title":"Repair of the acute deltoid ligament complex rupture associated with ankle fractures: a multicenter clinical study","volume":"54","author":"Yu","year":"2015","journal-title":"J Foot Ankle Surg"},{"issue":"4","key":"10.1053\/j.jfas.2025.06.010_bib0002","first-page":"406","article-title":"Assessment of the injured ankle in the athlete","volume":"37","author":"Lynch","year":"2002","journal-title":"J Athl Train"},{"issue":"1","key":"10.1053\/j.jfas.2025.06.010_bib0003","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1007\/s11999-009-0988-2","article-title":"Supination-external rotation ankle fractures: stability a key issue","volume":"468","author":"Gougoulias","year":"2010","journal-title":"Clin Orthop Relat Res"},{"issue":"4","key":"10.1053\/j.jfas.2025.06.010_bib0004","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1053\/j.jfas.2017.12.007","article-title":"Evaluation of transsyndesmotic fixation and primary deltoid ligament repair in ankle fractures with suspected combined deltoid ligament injury","volume":"57","author":"Wu","year":"2018","journal-title":"J Foot Ankle Surg"},{"issue":"1","key":"10.1053\/j.jfas.2025.06.010_bib0005","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"},{"issue":"7","key":"10.1053\/j.jfas.2025.06.010_bib0006","doi-asserted-by":"crossref","first-page":"1581","DOI":"10.1016\/j.injury.2016.03.017","article-title":"The contribution of anterior deltoid ligament to ankle stability in isolated lateral malleolar fractures","volume":"47","author":"Lee","year":"2016","journal-title":"Injury"},{"issue":"4","key":"10.1053\/j.jfas.2025.06.010_bib0007","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1007\/s00402-020-03645-7","article-title":"Does repair of deltoid ligament contribute to restoring a mortise in SER type IV ankle fracture with syndesmotic diastasis?","volume":"142","author":"Choi","year":"2022","journal-title":"Arch Orthop Trauma Surg"},{"issue":"7","key":"10.1053\/j.jfas.2025.06.010_bib0008","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1000097","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"6","author":"Moher","year":"2009","journal-title":"PLoS Med"},{"issue":"1","key":"10.1053\/j.jfas.2025.06.010_bib0009","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1186\/s13643-015-0083-6","article-title":"Handling trial participants with missing outcome data when conducting a meta-analysis: a systematic survey of proposed approaches","volume":"4","author":"Akl","year":"2015","journal-title":"Syst Rev"},{"issue":"7650","key":"10.1053\/j.jfas.2025.06.010_bib0010","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1136\/bmj.39489.470347.AD","article-title":"an emerging consensus on rating quality of evidence and strength of recommendations","volume":"336","author":"Guyatt","year":"2008","journal-title":"BMJ"},{"issue":"4","key":"10.1053\/j.jfas.2025.06.010_bib0011","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1053\/j.jfas.2017.12.007","article-title":"Evaluation of transsyndesmotic fixation and primary deltoid ligament repair in ankle fractures with suspected combined deltoid ligament injury","volume":"57","author":"Wu","year":"2018","journal-title":"J Foot Ankle Surg"},{"issue":"6","key":"10.1053\/j.jfas.2025.06.010_bib0012","doi-asserted-by":"crossref","first-page":"920","DOI":"10.1302\/0301-620X.77B6.7593106","article-title":"The repair of a ruptured deltoid ligament is not necessary in ankle fractures","volume":"77","author":"Str\u00f6ms\u00f6e","year":"1995","journal-title":"J Bone Jt Surg Br"},{"issue":"6","key":"10.1053\/j.jfas.2025.06.010_bib0013","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1016\/j.fas.2021.08.007","article-title":"Early radiographic outcomes following deltoid ligament repair in bimalleolar equivalent ankle fractures","volume":"28","author":"Sogbein","year":"2022","journal-title":"Foot Ankle Surg."},{"key":"10.1053\/j.jfas.2025.06.010_bib0014","doi-asserted-by":"crossref","unstructured":"C.R. Jones and J.A.N. Ii, \u201cDeltoid ligament repair versus syndesmotic fixation in bimalleolar equivalent ankle fractures,\u201d 2014. [Online]. Available: www.jorthotrauma.com","DOI":"10.1097\/BOT.0000000000000220"},{"issue":"1","key":"10.1053\/j.jfas.2025.06.010_bib0015","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1186\/s12891-017-1907-4","article-title":"Surgical treatment of ankle fracture with or without deltoid ligament repair: a comparative study","volume":"18","author":"Zhao","year":"2017","journal-title":"BMC Musculoskelet Disord"},{"issue":"9","key":"10.1053\/j.jfas.2025.06.010_bib0016","first-page":"13778","article-title":"Efficacy of deltoid ligament reconstruction on the curative effect, complication and long-term prognosis in ankle fracture-dislocation with deltoid ligament injury","volume":"10","author":"Gu","year":"2017","journal-title":"Int J Clin Exp Med"},{"issue":"12","key":"10.1053\/j.jfas.2025.06.010_bib0017","doi-asserted-by":"crossref","first-page":"2312","DOI":"10.1016\/j.injury.2018.11.006","article-title":"Does routinely repairing deltoid ligament injuries in type B ankle joint fractures influence long term outcomes?","volume":"49","author":"Sun","year":"2018","journal-title":"Injury"},{"issue":"1","key":"10.1053\/j.jfas.2025.06.010_bib0018","doi-asserted-by":"crossref","DOI":"10.1186\/s12891-019-2840-5","article-title":"Transarticular external fixation versus deltoid ligament repair in treating ser IV ankle fractures: a comparative study","volume":"20","author":"Li","year":"2019","journal-title":"BMC Musculoskelet Disord"},{"issue":"1","key":"10.1053\/j.jfas.2025.06.010_bib0019","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1177\/1071100717732383","article-title":"Short-term results of a ruptured deltoid ligament repair during an acute ankle fracture fixation","volume":"39","author":"Woo","year":"2018","journal-title":"Foot Ankle Int"},{"issue":"14","key":"10.1053\/j.jfas.2025.06.010_bib0020","doi-asserted-by":"crossref","first-page":"e648","DOI":"10.5435\/JAAOS-D-18-00198","article-title":"Deltoid ligament rupture in ankle fracture: diagnosis and management","volume":"27","author":"Lee","year":"2019","journal-title":"J Am Acad Orthop Surg"},{"issue":"8","key":"10.1053\/j.jfas.2025.06.010_bib0021","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"},{"issue":"1","key":"10.1053\/j.jfas.2025.06.010_bib0022","doi-asserted-by":"crossref","first-page":"E9","DOI":"10.1503\/cjs.020320","article-title":"Management of deltoid ligament injuries in acute ankle fracture: a systematic review","volume":"65","author":"James","year":"2022","journal-title":"Can J Surg"},{"issue":"2","key":"10.1053\/j.jfas.2025.06.010_bib0023","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.fcl.2022.12.002","article-title":"The burden of the \u2018simple ankle sprains\u2019: a review of the epidemiology and long-term impact","volume":"28","author":"Hong","year":"2023","journal-title":"Foot Ankle Clin"},{"issue":"6","key":"10.1053\/j.jfas.2025.06.010_bib0024","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1007\/s00068-015-0548-2","article-title":"Osteoligamentous injuries of the medial ankle joint","volume":"41","author":"L\u00f6tscher","year":"2015","journal-title":"Eur J Trauma Emerg Surg"},{"key":"10.1053\/j.jfas.2025.06.010_bib0025","doi-asserted-by":"crossref","first-page":"2043015","DOI":"10.1155\/2020\/2043015","article-title":"The importance of the deep deltoid ligament repair in treating supination-external rotation stage IV ankle fracture: a comparative retrospective cohort study","volume":"2020","author":"Chen","year":"2020","journal-title":"Biomed Res Int"},{"key":"10.1053\/j.jfas.2025.06.010_bib0026","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.jor.2019.06.005","article-title":"Deltoid ligament repair reduces and stabilizes the talus in unstable ankle fractures","volume":"17","author":"Butler","year":"2020","journal-title":"J Orthop"}],"container-title":["The Journal of Foot and Ankle Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1067251625001991?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1067251625001991?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T11:04:27Z","timestamp":1761390267000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1067251625001991"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":26,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["S1067251625001991"],"URL":"https:\/\/doi.org\/10.1053\/j.jfas.2025.06.010","relation":{},"ISSN":["1067-2516"],"issn-type":[{"value":"1067-2516","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The role of deltoid ligament repair in Weber B and C ankle fractures: A systematic review and meta-analysis of clinical, functional and radiographic results","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.2025.06.010","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the American College of Foot and Ankle Surgeons. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}