{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T09:11:18Z","timestamp":1792141878055,"version":"4.4.0"},"reference-count":40,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T00:00:00Z","timestamp":1686268800000},"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":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Ankle fragility fractures (AFX) continue to increase in the elderly population. There is limited knowledge of AFX characteristics compared to nonankle fragility fractures (NAFX). The American Orthopaedic Association\u2019s Own the Bone (OTB) is a fragility fracture initiative. This robust data set was used to examine and compare characteristics of patients presenting with AFX to those with NAFX.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The OTB database contained 72,617 fragility fractures between January 2009 and March of 2022 and were reviewed in our secondary cohort comparative analysis. After exclusions, AFX accounted for 3229 patients and 54,772 patients were in the NAFX cohort. Bivariate analysis and logistic regression compared the AFX and NAFX groups concerning demographics, bone health factors, medication use, and prior fragility fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>AFX patients were found to have a higher likelihood to be younger (67.6\u2009years old), female (81.4%), non-Caucasian (11.7%) and have a higher BMI (30.6) compared to NAFX. Prior AFX predicted the risk of a future AFX. The probability of an AFX increased with increased age and BMI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A prior AFX is independently predictive of subsequent AFX. Therefore, these fractures should be considered a sentinel event. These patients are more likely to have higher BMI, to be of female gender, non-Caucasian race, and are younger compared to patients with NAFX.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III, retrospective cohort.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007231178536","type":"journal-article","created":{"date-parts":[[2023,6,10]],"date-time":"2023-06-10T00:55:28Z","timestamp":1686358528000},"page":"879-887","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["A Comparison of Ankle Fractures Relative to Other Fragility Fractures: A Review and Analysis of the American Orthopaedic Association\u2019s\n                    <i>Own the Bone<\/i>\n                    Database"],"prefix":"10.1177","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0329-0069","authenticated-orcid":false,"given":"Eric","family":"So","sequence":"first","affiliation":[{"name":"Capital Foot and Ankle \u2013 Bryan Physician Network, Lincoln, NE, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Juels","sequence":"additional","affiliation":[{"name":"Tier 1 Orthopedic and Neurosurgical Institute, Cookeville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan T.","family":"Scott","sequence":"additional","affiliation":[{"name":"The CORE Institute, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6941-8884","authenticated-orcid":false,"given":"Debra L.","family":"Sietsema","sequence":"additional","affiliation":[{"name":"The CORE Institute (retired), Phoenix, AZ, USA"},{"name":"MORE Foundation (retired), Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,6,9]]},"reference":[{"key":"bibr1-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.96B6.32721"},{"key":"bibr2-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgac092"},{"key":"bibr3-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2009.05.014"},{"key":"bibr4-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-015-3119-9"},{"key":"bibr5-10711007231178536","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.15.01494"},{"key":"bibr6-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.4.387"},{"key":"bibr7-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2011.06.013"},{"key":"bibr8-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.100826"},{"key":"bibr9-10711007231178536","doi-asserted-by":"publisher","DOI":"10.3109\/17453678709146395"},{"key":"bibr10-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1007\/s11914-013-0154-3"},{"key":"bibr11-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(13)70192-X"},{"key":"bibr12-10711007231178536","doi-asserted-by":"publisher","DOI":"10.3109\/17453679808997788"},{"key":"bibr13-10711007231178536","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200305000-00008"},{"key":"bibr14-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03767.x"},{"key":"bibr15-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.168.20.2261"},{"key":"bibr16-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1007\/s001980050044"},{"key":"bibr17-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1007\/s13670-017-0196-y"},{"key":"bibr18-10711007231178536","doi-asserted-by":"publisher","DOI":"10.2188\/jea.je20120215"},{"key":"bibr19-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1016\/j.bone.2004.03.024"},{"key":"bibr20-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1016\/s8756-3282(02)00832-3"},{"key":"bibr21-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1016\/j.afos.2017.11.005"},{"key":"bibr22-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-013-2394-6"},{"issue":"1","key":"bibr23-10711007231178536","first-page":"51","volume":"11","author":"Metcalfe D","year":"2008","journal-title":"McGill J Med"},{"key":"bibr24-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000001066"},{"key":"bibr25-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2013.01.010"},{"key":"bibr26-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1016\/j.bone.2013.11.024"},{"key":"bibr27-10711007231178536","doi-asserted-by":"publisher","DOI":"10.11138\/ccmbm\/2015.12.2.116"},{"key":"bibr28-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.091004"},{"key":"bibr29-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-011-1648-4"},{"key":"bibr30-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000003324"},{"key":"bibr31-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1007\/s00223-018-0393-5"},{"key":"bibr32-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1007\/s004020000172"},{"key":"bibr33-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.5650110920"},{"key":"bibr34-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-014-2655-z"},{"key":"bibr35-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2021.06.016"},{"key":"bibr36-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2020.03.012"},{"key":"bibr37-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2014.10.015"},{"key":"bibr38-10711007231178536","unstructured":"United States Bone and Joint Initiative. Economic burden of musculoskeletal diseases. Accessed December 12, 2022. https:\/\/www.boneandjointburden.org\/fourth-edition\/iva4\/economic-burden"},{"key":"bibr39-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1016\/s8756-3282(01)00649-4"},{"key":"bibr40-10711007231178536","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2016.03.004"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007231178536","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10711007231178536","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007231178536","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:22:19Z","timestamp":1777411339000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10711007231178536"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,9]]},"references-count":40,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/10711007231178536"],"URL":"https:\/\/doi.org\/10.1177\/10711007231178536","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,9]]}}}