{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T04:40:13Z","timestamp":1777610413198,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[1981,5,1]],"date-time":"1981-05-01T00:00:00Z","timestamp":357523200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot &amp; Ankle"],"published-print":{"date-parts":[[1981,5]]},"abstract":"<jats:p>Massive trauma involving the foot was treated by external fixation in 33 cases and followed for 1 to 3 years. Amputations were performed in seven (21%) because of uncontrollable deep sepsis in two and massive injury in five. The other 26 (79%) had functionally acceptable feet at follow-up, but all had some stiffness and cosmetic deformity. Complications attributed to the Hoffman external fixation were limited to three pin tract infections.<\/jats:p>\n                  <jats:p>We recommend Hoffmann external fixation when it is necessary to: 1) stabilize major open fracture dislocations; 2) maintain length where bone is lost or extensively comminuted; 3) prevent soft tissue contractures; 4) control joint position for delayed ankle arthrodesis; and 5) provide easy access for soft and bone tissue reconstructions.<\/jats:p>","DOI":"10.1177\/107110078100100611","type":"journal-article","created":{"date-parts":[[2013,3,3]],"date-time":"2013-03-03T03:24:58Z","timestamp":1362281098000},"page":"348-361","source":"Crossref","is-referenced-by-count":22,"title":["Acute Management of Major Trauma Involving the Foot and Ankle with Hoffmann External Fixation"],"prefix":"10.1177","volume":"1","author":[{"given":"John E.","family":"Kenzora","sequence":"first","affiliation":[{"name":"Associate Professor, Division of Orthopaedic Surgery., Division of Orthopaedic Surgery University of Maryland Hospital Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles C.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Associate Professor and Head, Division of Orthopaedic Surgery., Division of Orthopaedic Surgery University of Maryland Hospital Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce D.","family":"Browner","sequence":"additional","affiliation":[{"name":"Assistant Professor, Division of Orthopaedic Surgery., Division of Orthopaedic Surgery University of Maryland Hospital Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James G.","family":"Gamble","sequence":"additional","affiliation":[{"name":"Assistant Professor, Division of Orthopaedic Surgery., Division of Orthopaedic Surgery University of Maryland Hospital Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jivaka B.","family":"DeSilva","sequence":"additional","affiliation":[{"name":"Instructor, Division of Orthopaedic Surgery."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1981,5,1]]},"reference":[{"key":"atypb1","volume-title":"Proceedings of the 6th International Conference on Hoffmann External Fixation","year":"1979"},{"key":"atypb2","unstructured":"Connes\u00a0H.Hoffmann's external anchorage techniques, indications and results. 4th Ed.Edition Gead; 1977:134."},{"key":"atypb3","unstructured":"Edwards\u00a0C.C.External Fixation: The Current State of the Art. Brooker\u00a0A.F., Edwards\u00a0C.C., ed. Baltimore: The Williams & Wilkins Company; 1979:181-201."},{"key":"atypb4","unstructured":"Edwards\u00a0C.C.Proceedings of the 7th International Conference on Hoffmann External Fixation. Vidal\u00a0J., ed. Geneva: S. A. Diffinco; 1979:51-59."},{"key":"atypb5","volume-title":"Advances in External Fixation","year":"1980"},{"key":"atypb6","unstructured":"Mears\u00a0D.C.Materials and Orthopaedic Surgery. Mears\u00a0D.C., ed. The Williams & Wilkins Company; 1979:404-479."},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1972.04180110021007"}],"container-title":["Foot &amp; Ankle"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110078100100611","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110078100100611","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:17:01Z","timestamp":1777411021000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/107110078100100611"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1981,5]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1981,5]]}},"alternative-id":["10.1177\/107110078100100611"],"URL":"https:\/\/doi.org\/10.1177\/107110078100100611","relation":{},"ISSN":["0198-0211"],"issn-type":[{"value":"0198-0211","type":"print"}],"subject":[],"published":{"date-parts":[[1981,5]]}}}