{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:26:33Z","timestamp":1777613193980,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2016,7,20]],"date-time":"2016-07-20T00:00:00Z","timestamp":1468972800000},"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":[[2016,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Determining the stability of ankle fractures, particularly Weber B fibula fractures, can be challenging. Ability to weight-bear after injury may be predictive of stability. We sought to determine whether patients\u2019 ability to weight-bear immediately after injury was an effective indicator for ankle stability following fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospective review was conducted of patients sustaining ankle fractures. Patients\u2019 ability to weight-bear after injury was elicited and correlated with ankle radiographs, which were deemed stable or unstable based on commonly used indices to assess stability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>For the entire cohort (n = 121), patients who were able to weight-bear immediately after injury were over 8 times more likely to have a stable fracture than those who could not (odds ratio [OR] = 8.6, P &lt; .001). Positive predictive value (PPV) for being able to fully weight-bear as it related to stability was 73%. Inability to weight-bear was 85% specific among patients with an unstable fracture. When analyzing patients with radiographic isolated fibula fractures (n = 67), PPV = 82%, negative predictive value [NPV] = 53%, specificity = 79%, whereas the OR was 5.0 ( P = .003) for those who could weight-bear having a stable fracture. When subanalyzing patients who presented with isolated fibula fractures and anatomic mortises (n = 43), PPV = 74%, NPV = 52%, specificity = 62%, whereas the OR was 3.6 ( P = .07) for those who could weight-bear having a stable fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients\u2019 ability to weight-bear immediately after injury was a specific and prognostic indicator for stability across a range of ankle fracture subtypes. Patients with an isolated fibula fracture and anatomic mortise were 3.6 times more likely to have a stable fracture if they were able to fully weight-bear at the time of injury. Although a patient\u2019s history does not preclude the need for appropriate imaging studies and clinical judgment, it may aid in the assessment of ankle stability following fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level II, clinical diagnostic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100716648009","type":"journal-article","created":{"date-parts":[[2016,5,9]],"date-time":"2016-05-09T22:53:59Z","timestamp":1462834439000},"page":"983-988","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Relationship of Self-Reported Ability to Weight-Bear Immediately After Injury as Predictor of Stability for Ankle Fractures"],"prefix":"10.1177","volume":"37","author":[{"given":"Bonnie","family":"Chien","sequence":"first","affiliation":[{"name":"Harvard Combined Orthopaedic Residency Program, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kurt","family":"Hofmann","sequence":"additional","affiliation":[{"name":"New England Baptist Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Ghorbanhoseini","sequence":"additional","affiliation":[{"name":"Carl J. Shapiro Department of Orthopaedics, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Zurakowski","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Boston Children\u2019s Hospital, Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward K.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Orthopaedic Trauma, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Appleton","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Kent","family":"Ellington","sequence":"additional","affiliation":[{"name":"OrthoCarolina, Foot and Ankle Institute, Charlotte, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John Y.","family":"Kwon","sequence":"additional","affiliation":[{"name":"Carl J. Shapiro Department of Orthopaedics, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,7,20]]},"reference":[{"key":"bibr1-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1080\/17457300.2014.908222"},{"key":"bibr2-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-015-4504-6"},{"key":"bibr3-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0274(199812)34:6<559::AID-AJIM3>3.0.CO;2-3"},{"key":"bibr4-1071100716648009","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2008.2887"},{"issue":"4","key":"bibr5-1071100716648009","first-page":"318","volume":"67","author":"Davidovitch RI","year":"2009","journal-title":"Bull NYU Hosp Joint Dis"},{"key":"bibr6-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2014.09.010"},{"key":"bibr7-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3180413835"},{"key":"bibr8-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31822c4ea5"},{"key":"bibr9-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1177\/107110079601700604"},{"key":"bibr10-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2014.08.002"},{"key":"bibr11-1071100716648009","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200411000-00005"},{"key":"bibr12-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.37.6.545"},{"key":"bibr13-1071100716648009","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01002"},{"key":"bibr14-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0988-2"},{"key":"bibr15-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2003.11.008"},{"key":"bibr16-1071100716648009","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2012.0092"},{"key":"bibr17-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511974175"},{"key":"bibr18-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1177\/1938640014546862"},{"key":"bibr19-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1950.01250010980011"},{"key":"bibr20-1071100716648009","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2011.579223"},{"key":"bibr21-1071100716648009","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200410000-00007"},{"key":"bibr22-1071100716648009","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.01533"},{"key":"bibr23-1071100716648009","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.00084"},{"key":"bibr24-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B8.19134"},{"key":"bibr25-1071100716648009","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2012.0548"},{"key":"bibr26-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(05)82656-3"},{"key":"bibr27-1071100716648009","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5413.152487"},{"key":"bibr28-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2004.006965"},{"key":"bibr29-1071100716648009","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-010-1051-1"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1071100716648009","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1071100716648009","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1071100716648009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:25:21Z","timestamp":1777411521000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1071100716648009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,20]]},"references-count":29,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2016,9]]}},"alternative-id":["10.1177\/1071100716648009"],"URL":"https:\/\/doi.org\/10.1177\/1071100716648009","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,20]]}}}