{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:16:20Z","timestamp":1787314580057,"version":"build-2736575974"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,11,29]],"date-time":"2020-11-29T00:00:00Z","timestamp":1606608000000},"content-version":"vor","delay-in-days":333,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Science and Technology Project of Henan Province","award":["192102310397"],"award-info":[{"award-number":["192102310397"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>\n                    <jats:italic>Background.<\/jats:italic>\n                    The necessity of the deep deltoid ligament repair in the treatment of supination\u2010external rotation (SER) ankle stage IV fracture with deltoid ligament rupture is highly debated. We conducted this retrospective research aimed at exploring the curative effect of the deep deltoid ligament repair in treating SER fracture.\n                    <jats:italic>Methods.<\/jats:italic>\n                    Sixty\u2010three patients with closed SER stage IV fractures received open reduction and internal fixation (ORIF), using either deep deltoid ligament repair (the DDLR group, 31 patients) or nondeep deltoid ligament repair (the NDDLR group, 32 patients). The radiographic parameters examined include the talocrural angle (TA), fibular length (FL), tibiomedial malleolar angle (TMMA), medial clear space (MCS), and tibiofibular clear space (TFCS). The functional performance parameters examined in the study were visual analog scale (VAS) pain score, American Orthopaedic Foot &amp; Ankle Society (AOFAS) ankle\u2010hindfoot scales, and range of motion of bilateral ankles (RMBA). Complications, including bone nonunion, infection, and fragment displacement, were also recorded and compared.\n                    <jats:italic>Results.<\/jats:italic>\n                    Similar basic characteristics were found in both cohorts. All patients completed follow\u2010up ranging from 12 to 22 months (mean time: 12.41 \u00b1 4.21 months). The DDLR group had significantly reduced VAS score (\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.05), with markedly increased RMBA (\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.05) compared to the NDDLR group. The two cohorts showed similar follow\u2010up performance at 3 months (\n                    <jats:italic>p<\/jats:italic>\n                    &gt; 0.05), 6 months (\n                    <jats:italic>p<\/jats:italic>\n                    &gt; 0.05), and 12 months (\n                    <jats:italic>p<\/jats:italic>\n                    &gt; 0.05), in terms of parameters including TA, FL, TMMA, MCS, TCS, and AOFAS ankle\u2010hindfoot scales.\n                    <jats:italic>Conclusion.<\/jats:italic>\n                    Although similar radiographic performances were achieved in both cohorts, the DDLR group displayed enhanced functional outcome postsurgery, indicating that DDLR may be a better potential for the treatment of SER stage IV fracture with deltoid ligament rupture.\n                  <\/jats:p>","DOI":"10.1155\/2020\/2043015","type":"journal-article","created":{"date-parts":[[2020,11,29]],"date-time":"2020-11-29T21:52:14Z","timestamp":1606686734000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["The Importance of the Deep Deltoid Ligament Repair in Treating Supination\u2010External Rotation Stage IV Ankle Fracture: A Comparative Retrospective Cohort Study"],"prefix":"10.1155","volume":"2020","author":[{"given":"Hongfeng","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongsong","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junke","family":"Niu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pengru","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qidi","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xishun","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6801-8261","authenticated-orcid":false,"given":"Guangliang","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,29]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-018-2326-x"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40134-014-0045-0"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.2147\/ORR.S112684"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/820615"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0988-2"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.3.170057"},{"key":"e_1_2_11_7_2","first-page":"68","article-title":"The anatomy and mechanisms of syndesmotic ankle sprains","volume":"36","author":"Norkus S. A.","year":"2001","journal-title":"Journal of Athletic Training"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.82B3.0820345"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.1995.21.4.197"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1950.01250010980011"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-012-2159-3"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000220"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717732383"},{"key":"e_1_2_11_14_2","first-page":"430","article-title":"Comparison of the curative effect of ORIF with or without deltoid ligament repair in ankle fractures","volume":"33","author":"Li L.","year":"2018","journal-title":"Chinese Journal of Bone and Joint Injury"},{"key":"e_1_2_11_15_2","first-page":"290","article-title":"Comparative study of ORIF with or without deltoid ligament repair for ankle fractures","volume":"21","author":"Zhao H.","year":"2019","journal-title":"Chinese Journal of Orthopaedic Trauma"},{"key":"e_1_2_11_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720937637"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2020\/2043015.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2020\/2043015.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2020\/2043015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T08:58:41Z","timestamp":1735635521000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2020\/2043015"}},"subtitle":[],"editor":[{"given":"Xiao Lei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1155\/2020\/2043015"],"URL":"https:\/\/doi.org\/10.1155\/2020\/2043015","archive":["Portico"],"relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"assertion":[{"value":"2020-08-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"2043015"}}