{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:50:05Z","timestamp":1747187405777,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T00:00:00Z","timestamp":1631491200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2021,10]]},"abstract":"Objective<\/jats:title>To investigate the curative effect of closed reduction and external fixation in the treatment of grade IV supination\u2010external rotation fractures of the ankle joint.<\/jats:p><\/jats:sec>Methods<\/jats:title>Fifty\u2010six patients treated with closed reduction and external fixation from February 2016 to March 2020 were included in this retrospective study, all with sprains. After receiving nerve block anesthesia, the patient underwent closed reduction under C\u2010arm fluoroscopy, and the ankle joint was fixed in a dorsiflexion\u2010inversion position with casting and splints after the end of the fracture met the reduction standard by fluoroscopy. One week and four weeks after the reduction treatment, oblique axial and coronal MR scans of the ankle joint were performed to determine the degree of injury and healing of the inferior tibiofibular syndesmosis; anteroposterior and lateral X\u2010rays of the ankle joint (including the ankle acupoints) were regularly reviewed to observe the fracture alignment and healing. Combined with the images and physical examination, the patients were instructed to undergo ankle weight\u2010bearing rehabilitation training when they met the clinical healing standard, and at the last follow\u2010up, the Mazur ankle evaluation and grading system were used for evaluation. After the reduction, the images were evaluated according to the Leeds standard. The image healing of fracture was evaluated by callus growth criteria.<\/jats:p><\/jats:sec>Results<\/jats:title>The follow\u2010up period of patients ranged from 11 to 58\u2009months, with an average of 26.8\u2009months. The clinical healing time was (8.51\u2009\u00b1\u20092.12) weeks. The excellent and good rating after reduction was 82.1%, and the excellent and good rating during clinical fracture healing was 73.2%, according to the Leeds imaging evaluation. According to the Mazur ankle evaluation and grading system, the excellent and good rating was 75.0%. Pairwise comparison of callus images at 4, 6 and 12\u2009weeks showed statistically significant differences (P<\/jats:italic>\u2009<\u20090.05), suggesting callus growth at different time periods. A total of 56 patients had anterior inferior tibial fibular ligament (AITFL) injuries (grade II\u2010III), among which 11 patients had AITFL injuries combined with grade II injuries of the interosseous ligament (IOL) and 4 patients had AITFL injuries combined with grade III injuries of the IOL.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Most of the patients with grade IV supination\u2010external rotation fracture of the ankle joint had good prognosis after closed reduction and plaster combined with splint fixation. For patients with IOL injury who had poor prognosis, open reduction and internal fixation therapy is appropriate.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13115","type":"journal-article","created":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T15:30:06Z","timestamp":1631547006000},"page":"2163-2169","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Closed Reduction for the Treatment of Grade IV<\/scp> Supination\u2010External Rotation Fracture of the Ankle Joint: A Retrospective Analysis"],"prefix":"10.1111","volume":"13","author":[{"given":"Hong\u2010zhou","family":"Zhao","sequence":"first","affiliation":[{"name":"Reduction Room of Orthopedics and Traumatology Department of Integrated Traditional Chinese and Western Medicine Tianjin Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tong\u2010shun","family":"Fan","sequence":"additional","affiliation":[{"name":"Reduction Room of Orthopedics and Traumatology Department of Integrated Traditional Chinese and Western Medicine Tianjin Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu\u2010li","family":"Wang","sequence":"additional","affiliation":[{"name":"Imaging Department Tianjin Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li\u2010min","family":"Liu","sequence":"additional","affiliation":[{"name":"Reduction Room of Orthopedics and Traumatology Department of Integrated Traditional Chinese and Western Medicine Tianjin Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming\u2010jun","family":"Liu","sequence":"additional","affiliation":[{"name":"Reduction Room of Orthopedics and Traumatology Department of Integrated Traditional Chinese and Western Medicine Tianjin Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4616-8410","authenticated-orcid":false,"given":"Jia\u2010hui","family":"Xing","sequence":"additional","affiliation":[{"name":"Reduction Room of Orthopedics and Traumatology Department of Integrated Traditional Chinese and Western Medicine Tianjin Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,9,13]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"759","article-title":"The value of arthroscopy in the treatment of anterior ankle impingement","volume":"17","author":"Luo JC","year":"2011","journal-title":"Shi Yong Gu Ke Za Zhi"},{"key":"e_1_2_5_3_1","first-page":"404","article-title":"Conservative management of supination\u2010eversion fractures of ankle","volume":"2006","author":"Zhang GZ","year":"2006","journal-title":"Zhong Hua Chuang Shang Gu Ke Za Zhi"},{"key":"e_1_2_5_4_1","first-page":"107","article-title":"Locking compression hook plate versus tension band for simple distal lateral malleolus fracture","volume":"27","author":"Zhang RY","year":"2019","journal-title":"Zhong Guo Jiao Xing Wai Ke Za Zhi"},{"key":"e_1_2_5_5_1","first-page":"230","article-title":"The Epidemiological analysis of 1080 patients with ankle fractures","volume":"24","author":"Zhu W","year":"2018","journal-title":"Shi Yong Gu Ke Za Zhi"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-015-4306-x"},{"key":"e_1_2_5_7_1","first-page":"354","article-title":"A X\u2010ray analysis of 2196 ankle fractures cases in adults","volume":"28","author":"Wang Y","year":"2017","journal-title":"Zhong Guo Lin Chuang Yi Xue Ying Xiang Za Zhi"},{"key":"e_1_2_5_8_1","first-page":"62","article-title":"Application of ladder tower pad in manipulative reduction and plaster support and splint external fixation in the treatment of supination external rotation ankle fracture","volume":"31","author":"Bi HL","year":"2019","journal-title":"Zhong Yi Zheng Gu"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2008.08.001"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0602"},{"key":"e_1_2_5_11_1","first-page":"3","article-title":"Expert consensus on optimizing ankle fracture treatment based on ERAS concept","volume":"12","author":"Li T","year":"2019","journal-title":"Zhong Hua Gu Yu Guan Jie Wai Ke Za Zhi"},{"key":"e_1_2_5_12_1","first-page":"864","article-title":"Expert opinions on optimized treatments of ankle and distal radius fractures in light of enhanced recovery after surgery","volume":"21","author":"Sun ZJ","year":"2019","journal-title":"Zhong Hua Chuang Shang Gu Ke Za Zhi"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13115","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/os.13115","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T04:42:10Z","timestamp":1693284130000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.13115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,13]]},"references-count":11,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1111\/os.13115"],"URL":"https:\/\/doi.org\/10.1111\/os.13115","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"type":"print","value":"1757-7853"},{"type":"electronic","value":"1757-7861"}],"subject":[],"published":{"date-parts":[[2021,9,13]]},"assertion":[{"value":"2021-04-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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