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Osteochondral fragments of the distal fibula were vis ible on all standard radiographs of the affected ankles. Treatment consisted of operative excision of the bony fragment and an anatomic nonaugmented repair of the lateral ligament complex and capsule. All 10 patients were available for long-term followup an average of 6.5 years (\u00b12) after surgery; all ankles improved function ally, with no recurrences of instability.<\/jats:p>","DOI":"10.1177\/036354659602400514","type":"journal-article","created":{"date-parts":[[2007,6,21]],"date-time":"2007-06-21T20:46:52Z","timestamp":1182458812000},"page":"647-651","source":"Crossref","is-referenced-by-count":30,"title":["Chronic, Painful Ankle Instability in Skeletally Immature Athletes"],"prefix":"10.1177","volume":"24","author":[{"given":"Brian D.","family":"Busconi","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Physical Rehabilitation, University of Massachusetts Medical Center, Worcester, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arthur M.","family":"Pappas","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Physical Rehabilitation, University of Massachusetts Medical Center, Worcester, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1996,9,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1177\/107110079001100210"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.282.6264.606"},{"key":"atypb3","unstructured":"Brostrom L.: Sprained ankles VI. Surgical treatment of chronic ligament ruptures . Acta Chir Scand 132: 551-565, 1966"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1177\/036354657700500606"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1177\/036354657600400402"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1177\/107110078000100206"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.69B2.3102500"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1177\/107110079301400101"},{"key":"atypb9","doi-asserted-by":"crossref","unstructured":"Hoed DD A separate centre of ossification for the tip of the internal malleolus Br J Radiol 30 67-69, 1925","DOI":"10.1259\/bir.1925.0013"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173020-00021"},{"key":"atypb11","unstructured":"Karlsson J. 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