{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T13:20:27Z","timestamp":1794057627455,"version":"4.8.0"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:title>Summary:<\/jats:title>\n          <jats:p>Rotational ankle fractures are incredibly common, resulting in a wide spectrum of bony and ligamentous injury patterns. After open reduction of an ankle fracture, the treating surgeon must always evaluate syndesmotic stability. If the syndesmosis is determined to be unstable, a reduction of the distal tibiofibular joint should be performed. Failure to adequately identify and treat injuries to the syndesmosis may result in continued ankle instability and poor patient outcomes. Lateral fluoroscopic images are necessary to assess a closed reduction of the syndesmosis before stabilization, although the accuracy of this tool has been questioned in several studies. Significant controversy surrounds many aspects of this injury and its treatment, including methods of diagnosis, ideal reduction clamp positioning, diameter and number of syndesmotic screws, and number of tibial cortices to be engaged. In the accompanying video, we describe our approach for the treatment of a bimalleolar ankle fracture with syndesmotic injury, using a posterior fibular plate and single tricortical syndesmotic screw.<\/jats:p>","DOI":"10.1097\/bot.0000000000000588","type":"journal-article","created":{"date-parts":[[2016,7,23]],"date-time":"2016-07-23T02:09:35Z","timestamp":1469239775000},"page":"S43-S44","source":"Crossref","is-referenced-by-count":8,"title":["Open Reduction Internal Fixation of a Bimalleolar Ankle Fracture With Syndesmotic Injury"],"prefix":"10.1097","volume":"30","author":[{"given":"Robert F.","family":"Ostrum","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew C.","family":"Avery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1177\/107110070602701005","article-title":"Malreduction of the tibiofibular syndesmosis in ankle fractures","volume":"27","author":"Gardner","year":"2006","journal-title":"Foot Ankle Int."},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1097\/BOT.0b013e318157a63a","article-title":"Syndesmotic instability in Weber B ankle fractures: a clinical evaluation","volume":"21","author":"Stark","year":"2007","journal-title":"J Orthop Trauma."},{"key":"R3-20230828","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1097\/BOT.0b013e3181a9f7a5","article-title":"Functional and radiographic results of patients with syndesmotic screw fixation: implications for screw removal","volume":"24","author":"Manjoo","year":"2010","journal-title":"J Orthop Trauma."},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"1438","DOI":"10.2106\/00004623-200707000-00005","article-title":"Are outcomes of bimalleolar fractures poorer than those of lateral malleolar fractures with medial ligamentous injury?","volume":"89","author":"Tejwani","year":"2007","journal-title":"J Bone Joint Surg Am."},{"key":"R5-20230828","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1097\/00005131-199604000-00008","article-title":"Posterior plating of displaced Weber B fibula fractures","volume":"10","author":"Ostrum","year":"1996","journal-title":"J Orthop Trauma."}],"container-title":["Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00005131-201608001-00021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T06:05:05Z","timestamp":1693202705000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00005131-201608001-00021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.1097\/bot.0000000000000588","relation":{},"ISSN":["0890-5339"],"issn-type":[{"value":"0890-5339","type":"print"}],"subject":[],"published":{"date-parts":[[2016,8]]}}}