{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T07:57:31Z","timestamp":1767167851434,"version":"build-2238731810"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T00:00:00Z","timestamp":1649635200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007824","name":"Soochow University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007824","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Healthcare Engineering"],"published-print":{"date-parts":[[2022,4,11]]},"abstract":"<jats:p>Objective. To compare the clinical outcome and postoperative complications of the treatment of supination-external rotation-type ankle fractures using the posterolateral approach in the prone position and the lateral approach in the supine position. Methods. A retrospective cohort study was conducted in our hospital, including a total of 66 patients ranging from January 2013 to February 2016, regardless of age or sex. All the patients were classified as Lauge-Hansen supination-external rotation (SER)-type ankle fractures and were assigned to receive an open reduction and internal fixation (ORIF) through a posterolateral approach performed in the prone position (the \u201cposterolateral approach group,\u201d 32 patients), or a lateral approach performed in the supine position (the \u201cLateral Approach Group,\u201d 34 patients). In the posterolateral approach group, 5 patients had Grade II fractures, 8 had Grade III fractures, and 19 had Grade IV fractures; among whom, 12 underwent fixation of the posterior malleolus with hollow screws and 6 with plates, and none of them had fixation of the distal tibiofibular syndesmosis; in the lateral approach group, 4 patients had Grade II fractures, 12 had Grade III fractures, and 18 had Grade IV fractures; among whom, 21 received fixation of the posterior malleolus, and 5 received fixation of the distal tibiofibular syndesmosis. The postoperative complications and ankle scores were recorded. Results. After 1 year of follow-up, in the posterolateral approach group, the incision healed by primary intention and sutures were removed 2 weeks after the operation in all patients; 1 patient had pain in the region posterior to the fibula, presumably peroneal tendon irritation induced by internal fixation, which disappeared after fracture union and fixation device removal; no loosening or breakage of the internal fixation device was reported; the rate of good to excellent results was 96.8% at 12\u2009months. In the lateral approach group: 1 case of wound infection, 1 case of necrosis of lateral skin flap, and 3 cases of lateral skin irritation were reported; the rate of good to excellent results was 94.6% at 12\u2009months. Conclusion. Compared with the traditional lateral approach, the posterolateral approach for the reduction and internal fixation of supination-external rotation-type ankle fractures performed in the prone position has more satisfactory clinical outcomes, with better reduction, more secure fixation, and smaller wound.<\/jats:p>","DOI":"10.1155\/2022\/7726726","type":"journal-article","created":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T16:05:38Z","timestamp":1649693138000},"page":"1-8","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Two Surgical Approaches to Supination-External Rotation-Type Ankle Fractures"],"prefix":"10.1155","volume":"2022","author":[{"given":"Bingqian","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Changshu Hospital Affiliated to Soochow University, First Peoples\u2019 Hospital of Changshu City, Changshu 215500, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhengfei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Changshu Hospital Affiliated to Soochow University, First Peoples\u2019 Hospital of Changshu City, Changshu 215500, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Changshu Hospital Affiliated to Soochow University, First Peoples\u2019 Hospital of Changshu City, Changshu 215500, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaohong","family":"Qu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Changshu Hospital Affiliated to Soochow University, First Peoples\u2019 Hospital of Changshu City, Changshu 215500, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaowen","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Changshu Hospital Affiliated to Soochow University, First Peoples\u2019 Hospital of Changshu City, Changshu 215500, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuesong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Changshu Hospital Affiliated to Soochow University, First Peoples\u2019 Hospital of Changshu City, Changshu 215500, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0283-8870","authenticated-orcid":true,"given":"Guoxiu","family":"Ke","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Changshu Hospital Affiliated to Soochow University, First Peoples\u2019 Hospital of Changshu City, Changshu 215500, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.3109\/17453678008990784"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.3109\/17453678008990904"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200208000-00008"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1097\/01.bot.0000245684.96775.82"},{"key":"5","volume-title":"Malleolar Fractures and Soft Tissue of the Ankle","author":"J. 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