{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T21:43:42Z","timestamp":1783979022878,"version":"3.55.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T00:00:00Z","timestamp":1737331200000},"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":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Os subfibulare (OS) is commonly found in patients with chronic lateral ankle instability (CLAI). When performing lateral ligament reconstruction for CLAI, excision of a large OS can cause substantial lateral ligament defects making anatomic repair challenging. This study analyzed clinical and radiologic outcomes among patients who underwent osteosynthesis of the OS for chronic lateral ankle instability and a large OS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>28 ankles with CLAI and a large OS (\u226510\u2009mm) that underwent osteosynthesis of the OS between June 2007 and July 2021 were included in the study and followed for \u226524\u2009months. Visual analog scale (VAS) for pain, Karlsson-Peterson ankle score, and Medical Outcomes Study Short Form Health Survey\u201336 physical component summary (SF-36 PCS), talar tilt angle, and anterior displacement of the talus were used to assess clinical and radiologic outcomes. All reoperations and complications were also evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean OS size was 15.4\u2009mm (range, 12.2-21.0\u2009mm). The mean follow-up period was 78.9\u2009months (range, 24.0-177.0\u2009months). Mean VAS score, Karlsson-Peterson ankle score, SF-36 PCS, talar tilt angle, and anterior displacement of the talus all improved significantly, from preoperative values of 5.3\u2009\u00b1\u20091.8, 38.4\u2009\u00b1\u200910.6, 45.6\u2009\u00b1\u200910.8\u2009points, 11.1\u2009\u00b1\u20095.7 degrees, and 7.3\u2009\u00b1\u20091.9\u2009mm, to 0.9\u2009\u00b1\u20091.4, 88.7\u2009\u00b1\u200912.6, 80.2\u2009\u00b1\u200912.3\u2009points, 3.9\u2009\u00b1\u20092.0 degrees, and 4.8\u2009\u00b1\u20091.3\u2009mm, respectively, by the last follow-up. The overall complication rate was 10.7% (3 ankles); the reoperation rate was 7.1% (2 ankles).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Osteosynthesis of the OS produced satisfactory outcomes in patients with CLAI and a large OS. This method may be a viable surgical option for patients with this condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007241309914","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T06:44:06Z","timestamp":1737355446000},"page":"324-331","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Outcomes of Osteosynthesis of Os Subfibulare for Chronic Lateral Ankle Instability With Large Os Subfibulare"],"prefix":"10.1177","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0422-7424","authenticated-orcid":false,"given":"Yeo Kwon","family":"Yoon","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwang Hwan","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Woo","family":"Shim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wonwoo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong Hyun","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7975-6067","authenticated-orcid":false,"given":"Seung Hwan","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0293-9017","authenticated-orcid":false,"given":"Jin Woo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,20]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516660069"},{"issue":"11","key":"e_1_3_2_3_2","article-title":"A comparative analysis of complication rates in arthroscopic repair of the lateral ankle ligament and the Brostrom-Gould technique: a systematic review","volume":"15","author":"Alhaddad A","year":"2023","unstructured":"Alhaddad A, Gronfula AG, Alsharif TH, et al. 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