{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T21:50:02Z","timestamp":1789941002184,"version":"4.0.1"},"reference-count":17,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,8,5]],"date-time":"2015-08-05T00:00:00Z","timestamp":1438732800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The purpose of this present study was to determine the incidence of lateral cortical fracture depending on the plane of osteotomy in medial open-wedge supramalleolar osteotomy (SMO) and to define a safe zone through which a medial open-wedge SMO could be performed with minimal risk of lateral cortical fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Matched pairs of fresh-frozen human cadaver lower leg specimens were obtained from 7 males and 3 females (average age = 63.9 [range 49\u201375] years). In group A, a safe zone-level medial open-wedge SMO (plane of osteotomy oriented to the proximal one-third of the intrasyndesmosis) was performed, and in group B, a higher-level medial open-wedge SMO (plane of osteotomy oriented to the suprasyndesmosis) was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In group A, 7 of the 10 limbs had no lateral cortical fracture, and 3 had lateral cortical fracture, but all of the fractured limbs were stable during the medial open-wedge SMO procedure. In group B, 2 of 10 limbs had no lateral cortical fracture and 8 had lateral cortical fracture. Three of the 8 fractured limbs were stable, but 5 were unstable during the medial open-wedge SMO procedure. The incidence of lateral cortical fracture in group B was significantly higher compared to group A ( P = .04).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>According to the present findings, lateral cortical fracture was less likely to occur when open-wedge SMO was at the plane of the proximal one-third of the intrasyndesmosis, the so-called \u201csafe zone,\u201d than at the plane of the suprasyndesmosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>A safe zone for medial open-wedge SMO to prevent lateral cortical fracture during the medial open-wedge SMO procedure was identified.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100715597438","type":"journal-article","created":{"date-parts":[[2015,8,5]],"date-time":"2015-08-05T22:19:50Z","timestamp":1438813190000},"page":"102-108","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Safe Zone for Medial Open-Wedge Supramalleolar Osteotomy of the Ankle"],"prefix":"10.1177","volume":"37","author":[{"given":"Kyung Wook","family":"Nha","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Inje University Ilsanpaik Hospital, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soon Hyuck","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Korea University Anam Hospital, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Im Joo","family":"Rhyu","sequence":"additional","affiliation":[{"name":"Department of Anatomy, College of Medicine, Korea University, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hak Jun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic surgery, Korea University Guro Hospital, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Gwang","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Inje University Ilsanpaik Hospital, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Hwi","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Inje University Ilsanpaik Hospital, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eui Dong","family":"Yeo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Soonchunhyang University Bucheon Hospital, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Koo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Soonchunhyang University Bucheon Hospital, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,8,5]]},"reference":[{"key":"bibr1-1071100715597438","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195537010-00022"},{"key":"bibr2-1071100715597438","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1093\/biomet\/34.1-2.179","volume":"34","author":"Barnard GA","year":"1947","journal-title":"Biometrika"},{"key":"bibr3-1071100715597438","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2009.06.002"},{"key":"bibr4-1071100715597438","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198505000-00007"},{"key":"bibr5-1071100715597438","first-page":"85","volume":"30","author":"Canale ST","year":"1981","journal-title":"Instr 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