{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T23:05:46Z","timestamp":1793315146844,"version":"4.5.0"},"reference-count":22,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2020,2,4]],"date-time":"2020-02-04T00:00:00Z","timestamp":1580774400000},"content-version":"unspecified","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000659","name":"Research Trainees Coordinating Centre","doi-asserted-by":"publisher","award":["CDF-2016-09-009"],"award-info":[{"award-number":["CDF-2016-09-009"]}],"id":[{"id":"10.13039\/501100000659","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,12,16]]},"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of this qualitative research study is to explore patient experiences of ankle fracture and the factors most important to them in recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Semistructured interviews exploring patient experiences of ankle fracture recovery at 16\u201323 weeks following injury. Interviews followed a topic guide and were recorded with an encrypted audio recorder and then transcribed verbatim. Thematic content analysis was used to identify themes in the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>\n                      Individuals were recruited from a sample of participants of a UK-based clinical trial of immobilisation methods for ankle fracture (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"isrctn\" xlink:href=\"15537280\">ISRCTN15537280<\/jats:ext-link>\n                      at the pre-results stage at time of writing). Interviews were conducted at the participants\u2019 own homes or on a university campus setting.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A purposive sample was used to account for key variables of age, gender and fracture management. Participants recruited from the clinical trial sample were adults aged 18 years or over with a closed ankle fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ten participants were interviewed, five of whom were female and six of whom needed an operation to fix their ankle fracture. The age range of participants was 21\u201375 years with a mean of 51.6 years. Eight themes emerged from the data during analysis; mobility, loss of independence, healthcare, psychological effects, social and family life, ankle symptoms, sleep disturbance and fatigue, and activities of daily living. Factors of importance to participants included regaining their independence, sleep quality and quantity, ability to drive, ability to walk without walking aids or weight-bearing restrictions, and radiological union.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results of this research demonstrates the extensive impact of ankle fracture on individuals\u2019 lives, including social and family life, sleep, their sense of independence and psychological well-being. The results of this study will enable an increased understanding of the factors of relevance to individuals with ankle fracture, allowing collection of appropriate outcomes in clinical studies for this condition. Ultimately these results will help formulate appropriate patient-centred rehabilitation plans for these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"ISRCTN15537280\">ISRCTN15537280<\/jats:ext-link>\n                      ; Pre-results\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-033539","type":"journal-article","created":{"date-parts":[[2020,2,5]],"date-time":"2020-02-05T04:39:24Z","timestamp":1580877564000},"page":"e033539","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":63,"title":["Patient experiences of an ankle fracture and the most important factors in their recovery: a qualitative interview study"],"prefix":"10.1136","volume":"10","clinical-trial-number":[{"clinical-trial-number":"isrctn15537280","registry":"10.18810\/isrctn"},{"clinical-trial-number":"isrctn15537280","registry":"10.18810\/isrctn"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3502-2328","authenticated-orcid":false,"given":"Rebecca","family":"McKeown","sequence":"first","affiliation":[{"name":"Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, West Midlands, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8010-164X","authenticated-orcid":false,"given":"Rebecca Samantha","family":"Kearney","sequence":"additional","affiliation":[{"name":"Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, West Midlands, UK"},{"name":"University Hospitals Coventry and Warwickshire, Coventry, West Midlands, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zi Heng","family":"Liew","sequence":"additional","affiliation":[{"name":"Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, West Midlands, UK"},{"name":"University Hospitals Coventry and Warwickshire, Coventry, West Midlands, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2992-048X","authenticated-orcid":false,"given":"David R","family":"Ellard","sequence":"additional","affiliation":[{"name":"Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, West Midlands, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,2,4]]},"reference":[{"key":"2025121409021884000_10.2.e033539.1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-005-1997-y"},{"key":"2025121409021884000_10.2.e033539.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.04.130"},{"key":"2025121409021884000_10.2.e033539.3","doi-asserted-by":"crossref","first-page":"2819","DOI":"10.1007\/s00198-013-2394-6","article-title":"Ankle fractures have features of an osteoporotic fracture","volume":"24","author":"Lee","year":"2013","journal-title":"Osteoporos Int"},{"key":"2025121409021884000_10.2.e033539.4","doi-asserted-by":"crossref","first-page":"2161","DOI":"10.1016\/j.injury.2018.11.009","article-title":"Fractures in older adults. A view of the future?","volume":"49","author":"Court-Brown","year":"2018","journal-title":"Injury"},{"key":"2025121409021884000_10.2.e033539.5","doi-asserted-by":"publisher","DOI":"10.3111\/200104051062"},{"key":"2025121409021884000_10.2.e033539.6","doi-asserted-by":"crossref","first-page":"1767","DOI":"10.1001\/jama.2017.16429","article-title":"Effect of locking plate fixation vs intramedullary nail fixation on 6-month disability among adults with displaced fracture of the distal tibia: the UK FixDT randomized clinical trial","volume":"318","author":"Costa","year":"2017","journal-title":"JAMA"},{"key":"2025121409021884000_10.2.e033539.7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.14719"},{"key":"2025121409021884000_10.2.e033539.8","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1097\/BOT.0000000000000572","article-title":"Early Weightbearing and range of motion versus Non-Weightbearing and immobilization after open reduction and internal fixation of unstable ankle fractures: a randomized controlled trial","volume":"30","author":"Dehghan","year":"2016","journal-title":"J Orthop Trauma"},{"key":"2025121409021884000_10.2.e033539.9","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-023301","article-title":"Research priorities in fragility fractures of the lower limb and pelvis: a UK priority setting partnership with the James Lind alliance","volume":"8","author":"Fernandez","year":"2018","journal-title":"BMJ Open"},{"key":"2025121409021884000_10.2.e033539.10","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2474-13-224","article-title":"Life impact of ankle fractures: qualitative analysis of patient and clinician experiences","volume":"13","author":"McPhail","year":"2012","journal-title":"BMC Musculoskelet Disord"},{"key":"2025121409021884000_10.2.e033539.11","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"2025121409021884000_10.2.e033539.12","doi-asserted-by":"crossref","DOI":"10.3402\/qhw.v9.26152","article-title":"What can \"thematic analysis\" offer health and wellbeing researchers?","volume":"9","author":"Braun","year":"2014","journal-title":"Int J Qual Stud Health Well-being"},{"key":"2025121409021884000_10.2.e033539.13","doi-asserted-by":"crossref","unstructured":"Liamputtong P . 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