{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T04:42:45Z","timestamp":1697604165438},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,8]]},"abstract":"\n Purpose:<\/jats:title>\n The incidence of ankle fractures is rapidly increasing in geriatric populations. Of the 4 fracture patterns described by the Lauge-Hansen classification system, supination-external rotation (SER) accounts for most ankle fractures. This video demonstrates surgical repair of a SER type 4 ankle fracture in a geriatric patient.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n SER type 4 ankle fractures are considered unstable and are generally treated with surgical fixation. After placement of plate and screws, intraoperative stress tests can be used to assess for syndesmotic widening. If necessary, the syndesmosis can be reduced open, with screw fixation placed parallel to the joint. Patients are kept non\u2013weight-bearing for 6 weeks after surgery.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n This video, shot on an iPhone 6S, shows the case of a 66-year-old female status after a fall with twisting mechanism resulting in an unstable SER type 4 fracture requiring operative repair. Intraoperative stress test revealed medial clear space widening requiring syndesmotic reduction.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n SER type 4 ankle fractures are a common injury that must be properly managed to return patients to baseline functional status. The surgical technique described in this video provides for good stabilization and allows for early range of motion with advancement to weight-bearing as tolerated at 6 weeks postoperatively.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/bot.0000000000000893","type":"journal-article","created":{"date-parts":[[2017,7,11]],"date-time":"2017-07-11T15:31:25Z","timestamp":1499787085000},"page":"S14-S15","source":"Crossref","is-referenced-by-count":5,"title":["Repair of Bimalleolar Ankle Fracture"],"prefix":"10.1097","volume":"31","author":[{"given":"Nina","family":"Fisher","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abiola","family":"Atanda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Swensen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth A.","family":"Egol","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20231017","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/S0895-4356(98)00167-X","article-title":"Fracture risk in the U.S. Medicare population","volume":"52","author":"Barrett","year":"1999","journal-title":"J Clin Epidemiol."},{"key":"R2-20231017","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":"R3-20231017","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.ocl.2013.01.010","article-title":"Osteoporotic ankle fractures","volume":"44","author":"Olsen","year":"2013","journal-title":"Orthop Clin North Am."},{"key":"R4-20231017","doi-asserted-by":"crossref","first-page":"e108","DOI":"10.1097\/BOT.0b013e31822c4ea5","article-title":"Twenty-one-year follow-up of supination-external rotation type II-IV (OTA type B) ankle fractures: a retrospective cohort study","volume":"26","author":"Donken","year":"2012","journal-title":"J Orthop Trauma."},{"key":"R5-20231017","doi-asserted-by":"crossref","first-page":"403","DOI":"10.5435\/00124635-200311000-00004","article-title":"Ankle fractures resulting from rotational injuries","volume":"11","author":"Michelson","year":"2003","journal-title":"J Am Acad Orthop Surg."},{"key":"R6-20231017","doi-asserted-by":"crossref","first-page":"728","DOI":"10.3113\/FAI.2009.0728","article-title":"Functional outcome after operatively treated ankle fractures in the elderly","volume":"30","author":"Davidovitch","year":"2009","journal-title":"Foot Ankle Int."},{"key":"R7-20231017","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.injury.2007.08.005","article-title":"The management of ankle fractures in the elderly","volume":"38","author":"Strauss","year":"2007","journal-title":"Injury"},{"key":"R8-20231017","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1177\/1071100713477615","article-title":"Comparison of supination external rotation type IV ankle fractures in geriatric versus nongeriatric populations","volume":"34","author":"Little","year":"2013","journal-title":"Foot Ankle Int."},{"key":"R9-20231017","doi-asserted-by":"crossref","first-page":"e236","DOI":"10.1097\/BOT.0000000000000571","article-title":"Outcomes over a decade after surgery for unstable ankle fracture","volume":"30","author":"Regan","year":"2016","journal-title":"J Orthop Trauma."}],"container-title":["Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00005131-201708003-00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T14:56:59Z","timestamp":1697554619000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00005131-201708003-00008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1097\/bot.0000000000000893","relation":{},"ISSN":["0890-5339"],"issn-type":[{"value":"0890-5339","type":"print"}],"subject":[],"published":{"date-parts":[[2017,8]]}}}