{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T17:28:53Z","timestamp":1793294933633,"version":"4.5.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,3,22]],"date-time":"2023-03-22T00:00:00Z","timestamp":1679443200000},"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":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The posterolateral approach to the ankle allows for reduction and fixation of the posterior and lateral malleoli through the same surgical incision. This can be accomplished via 1 or 2 surgical \u201cwindows.\u201d The purpose of this study is to compare outcomes including wound complications following direct fixation of unstable rotational ankle fracture through the posterolateral approach using either 1 or 2 surgical windows.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>One hundred sixty-four patients with bi- or trimalleolar ankle fractures treated using the single-window posterolateral approach (between the peroneal tendons and the flexor hallucis longus [FHL]) or the 2-window technique (between the peroneal tendons and the FHL for posterior malleolus fixation; lateral to the peroneal tendons for fibula fixation) were reviewed for demographics, radiographic details, and clinical outcomes. We were able to review these 164 at the 3-month follow-up and a subset of 104 at a minimum of 12-month follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>One hundred eight ankles had the single-window approach; 56 had the 2-window approach. These 2 cohorts did not differ in demographic or injury characteristics. Ankles in the 2-window group experienced a greater number of early (3 months postsurgery) wound complications (32% vs 12%, P\u2009&lt;\u2009.01). Two-window patients had more wound complications among ankles treated later than 1 week after injury (44% vs 16%, P\u2009&lt;\u2009.01). There was no difference in surgical site infection, with low rates in both cohorts. Single-window patients had greater plantarflexion (35\u2009\u00b1\u200910 vs 30\u2009\u00b1\u200911 degrees, P\u2009=\u2009.025) and dorsiflexion after 12 months (21\u2009\u00b1\u200910 vs 16\u2009\u00b1\u200911 degrees, P\u2009=\u2009.021). We did not find a significant difference in nerve complications for these 2 cohorts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In our study, we found the single-window posterolateral approach to be associated with fewer wound complications and better postoperative range of ankle motion when compared to the 2-window approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007231156163","type":"journal-article","created":{"date-parts":[[2023,3,22]],"date-time":"2023-03-22T08:33:50Z","timestamp":1679474030000},"page":"297-307","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["The 2-Window Posterolateral vs Single-Window Approach for Ankle Fracture Fixation"],"prefix":"10.1177","volume":"44","author":[{"given":"Christopher G.","family":"Herbosa","sequence":"first","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Leucht","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1056-2659","authenticated-orcid":false,"given":"Kenneth A.","family":"Egol","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8578-6556","authenticated-orcid":false,"given":"Nirmal C.","family":"Tejwani","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,3,22]]},"reference":[{"key":"bibr1-10711007231156163","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716667315"},{"key":"bibr2-10711007231156163","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31828b82f5"},{"key":"bibr3-10711007231156163","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10040-1073"},{"key":"bibr4-10711007231156163","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2016.04.019"},{"key":"bibr5-10711007231156163","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(91)90106-o"},{"key":"bibr6-10711007231156163","doi-asserted-by":"publisher","DOI":"10.3109\/17453678709146395"},{"key":"bibr7-10711007231156163","doi-asserted-by":"publisher","DOI":"10.30795\/jfootankle.2020.v14.1185"},{"key":"bibr8-10711007231156163","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2005.02.002"},{"key":"bibr9-10711007231156163","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000203489.21206.a9"},{"key":"bibr10-10711007231156163","doi-asserted-by":"publisher","DOI":"10.1177\/19386400211009366"},{"key":"bibr11-10711007231156163","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2008.03.002"},{"key":"bibr12-10711007231156163","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198911000-00018"},{"key":"bibr13-10711007231156163","doi-asserted-by":"publisher","DOI":"10.1016\/S8756-3282(02)00832-3"},{"key":"bibr14-10711007231156163","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200207000-00012"},{"issue":"8","key":"bibr15-10711007231156163","volume":"71","author":"Lee C","year":"2021","journal-title":"J Pak Med Assoc"},{"key":"bibr16-10711007231156163","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713477626"},{"key":"bibr17-10711007231156163","first-page":"37","volume":"122","author":"McDaniel WJ","year":"1977","journal-title":"Clin Orthop Relat Res"},{"key":"bibr18-10711007231156163","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-012-1753-9"},{"issue":"6","key":"bibr19-10711007231156163","first-page":"487","volume":"48","author":"Talbot M","year":"2005","journal-title":"Can J Surg"},{"key":"bibr20-10711007231156163","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714565792"},{"key":"bibr21-10711007231156163","doi-asserted-by":"publisher","DOI":"10.1111\/os.12308"}],"container-title":["Foot &amp; 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