{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T23:51:05Z","timestamp":1793663465814,"version":"4.5.1"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2012,5,9]],"date-time":"2012-05-09T00:00:00Z","timestamp":1336521600000},"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 &amp; Ankle Specialist"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p>The initial management of ankle fracture-dislocations is the crucial step in the treatment of these emergent traumatic injuries. A stepwise approach is necessary to properly evaluate, diagnose, and treat ankle fracture-dislocations. The goal of initial management is to evaluate the vascular status of the extremity and then restore proper alignment of the talus underneath the tibia. A retrospective review was performed on 40 patients, who presented to a community-based hospital emergency room, treated by the foot and ankle service for ankle fracture-dislocation. An analysis of patient demographics, injury pattern\/classification, number of reduction attempts, and immobilization method was performed and evaluated. This analysis was correlated with a review of the literature to develop an algorithm for the initial management of ankle fracture-dislocations recommending the use of a bivalved below-the-knee fiberglass cast for maintained stabilization post reduction.<\/jats:p>\n                  <jats:p>Level of Evidence: Therapeutic Level IV<\/jats:p>","DOI":"10.1177\/1938640012443283","type":"journal-article","created":{"date-parts":[[2012,5,10]],"date-time":"2012-05-10T00:59:59Z","timestamp":1336611599000},"page":"160-167","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Bivalved Fiberglass Cast Compared With Plaster Splint Immobilization for Initial Management of Ankle Fracture-Dislocations"],"prefix":"10.1177","volume":"5","author":[{"given":"Jeffrey R.","family":"Baker","sequence":"first","affiliation":[{"name":"Weil Foot & Ankle Institute, Des Plaines, Illinois (JRB, JMK)"},{"name":"Hoboken University Medical Center, Hoboken, New Jersey (SNP)"},{"name":"St. Luke\u2019s Hospital, Allentown, Pennsylvania (AJT)"},{"name":"Evanston Podiatric Surgeons, Evanston, Illinois (SESB)"},{"name":"William M. Scholl College of Podiatric Medicine, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shail N.","family":"Patel","sequence":"additional","affiliation":[{"name":"Weil Foot & Ankle Institute, Des Plaines, Illinois (JRB, JMK)"},{"name":"Hoboken University Medical Center, Hoboken, New Jersey (SNP)"},{"name":"St. Luke\u2019s Hospital, Allentown, Pennsylvania (AJT)"},{"name":"Evanston Podiatric Surgeons, Evanston, Illinois (SESB)"},{"name":"William M. Scholl College of Podiatric Medicine, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam J.","family":"Teichman","sequence":"additional","affiliation":[{"name":"Weil Foot & Ankle Institute, Des Plaines, Illinois (JRB, JMK)"},{"name":"Hoboken University Medical Center, Hoboken, New Jersey (SNP)"},{"name":"St. Luke\u2019s Hospital, Allentown, Pennsylvania (AJT)"},{"name":"Evanston Podiatric Surgeons, Evanston, Illinois (SESB)"},{"name":"William M. Scholl College of Podiatric Medicine, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Summer E.S.","family":"Bochat","sequence":"additional","affiliation":[{"name":"Weil Foot & Ankle Institute, Des Plaines, Illinois (JRB, JMK)"},{"name":"Hoboken University Medical Center, Hoboken, New Jersey (SNP)"},{"name":"St. Luke\u2019s Hospital, Allentown, Pennsylvania (AJT)"},{"name":"Evanston Podiatric Surgeons, Evanston, Illinois (SESB)"},{"name":"William M. Scholl College of Podiatric Medicine, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam E.","family":"Fleischer","sequence":"additional","affiliation":[{"name":"Weil Foot & Ankle Institute, Des Plaines, Illinois (JRB, JMK)"},{"name":"Hoboken University Medical Center, Hoboken, New Jersey (SNP)"},{"name":"St. Luke\u2019s Hospital, Allentown, Pennsylvania (AJT)"},{"name":"Evanston Podiatric Surgeons, Evanston, Illinois (SESB)"},{"name":"William M. 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