{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T23:51:10Z","timestamp":1781826670156,"version":"3.54.5"},"reference-count":36,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"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":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To review preoperative radiography and computed tomography (CT) of the ankle in 69 patients who underwent surgery for ankle fractures to determine the value of CT in diagnosis and surgical planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Preoperative radiography and CT of the ankle of 46 women and 23 men aged 17 to 90 (mean, 48.8) years were reviewed. CT was deemed necessary when radiographs showed the following features: (1) comminuted fracture of the medial malleolus involving the tibial plafond, (2) comminuted fracture of the posterior malleolus, (3) presence of loose bodies, and\/or (4) suspected Chaput or Volkman fracture fragment. Two orthopaedic surgeons independently reviewed the radiographs to look for any of the above features for which CT was indicated. In patients whose radiographs did not show any of the above features, each surgeon formulated a surgical plan based on radiographs alone and decided if any modification was needed after reviewing the CT scan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Based on radiographs of the 69 patients, 19 (28%) patients had features of posterior malleolar comminution (n=7), medial malleolar comminution (n=7), suspected Chaput fracture fragment (n=1), suspected Volkman fracture fragment (n=1), and combination of 2 lesions (n=3), and were deemed to require CT. In 10 (20%) of the remaining 50 patients, the surgical plan was modified after review of the CT scan. The intra- and inter-observer agreement was good to excellent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Radiography alone is not adequate for surgical planning for ankle fractures. More accurate imaging tools such as CT are needed to enable a more accurate diagnosis and surgical planning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1602400207","type":"journal-article","created":{"date-parts":[[2017,1,21]],"date-time":"2017-01-21T12:28:36Z","timestamp":1485001716000},"page":"158-162","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":37,"title":["Preoperative Radiography versus Computed Tomography for Surgical Planning for Ankle Fractures"],"prefix":"10.1177","volume":"24","author":[{"given":"Ka Hei","family":"Leung","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian Xin Shuo","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tak Wing","family":"Lau","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frankie Ka","family":"Li Leung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China"},{"name":"Shenzhen Key Laboratory for Innovative Technology in Orthopaedic Trauma, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,8,30]]},"reference":[{"key":"bibr1-1602400207","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200311000-00004"},{"key":"bibr2-1602400207","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.174.6.1741691"},{"key":"bibr3-1602400207","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200803000-00007"},{"key":"bibr4-1602400207","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2013.06.014"},{"key":"bibr5-1602400207","first-page":"37","volume":"122","author":"McDaniel WJ","year":"1977","journal-title":"Clin Orthop Relat Res"},{"key":"bibr6-1602400207","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198769090-00007"},{"key":"bibr7-1602400207","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198870090-00012"},{"key":"bibr8-1602400207","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199708000-00015"},{"key":"bibr9-1602400207","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200204"},{"key":"bibr10-1602400207","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00949"},{"key":"bibr11-1602400207","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200502000-00006"},{"key":"bibr12-1602400207","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.77B3.7744931"},{"key":"bibr13-1602400207","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198911000-00018"},{"key":"bibr14-1602400207","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200207000-00012"},{"key":"bibr15-1602400207","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713475355"},{"key":"bibr16-1602400207","unstructured":"Dvaidovitch RI, Egol KA. Ankle fractures. In: Bucholz RW, Heckman JD, Court-Brown CM, Tornetta PIII, editors. Rockwood and Green's fractures in adults. Vol II, 7th ed. Lippincott Williams & Wilkins; 2010:1975\u20132021."},{"key":"bibr17-1602400207","unstructured":"Schmidt AH, Kallas KM. Imaging considerations in orthopaedic trauma. In: Bucholz RW, Heckman JD, Court-Brown CM, Tornetta PIII, editors. Rockwood and Green's fractures in adults. Vol I, 7th ed. 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