{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T07:10:59Z","timestamp":1793171459382,"version":"4.5.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,2,2]],"date-time":"2019-02-02T00:00:00Z","timestamp":1549065600000},"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":[[2020,2]]},"abstract":"<jats:p>Background. Fracture dislocation of the ankle represents a substantial injury to the bony and soft tissue structures of the ankle. There has been only limited reporting of functional outcome of ankle fracture-dislocations. This study aimed to compare functional outcome after open reduction internal fixation in ankle fractures with and without dislocation. Methods. A retrospective chart review of surgically treated ankle fractures over a 3- year period was performed. Demographic data, type of fracture, operative time and complications were recorded. Of 118 patients eligible for analysis, 33 (28%) sustained a fracture-dislocation. Mean patient age was 46.6 years; 62 patients, who had follow-up of at least 12 months, were analyzed for functional outcome assessed by the Foot and Ankle Outcome Score (FAOS). The median follow-up time was 37 months. Demographic variables and FAOS were compared between ankle fractures with and without dislocation. Results. The average age of patients sustaining fracture-dislocation was greater (53 vs 44 years, P = .017); a greater percentage were female (72.7% vs 51.8%, P = .039) and diabetic (24.2% vs 7.1%, P = .010). Wound complications were similar between both groups. FAOS was generally poorer in the fracture-dislocation group, although only the pain subscale demonstrated statistical significance (76 vs 92, P = .012). Conclusion. Ankle fracture-dislocation occurred more frequently in patients who were older, female, and diabetic. At a median of just &gt; 3-year follow-up, functional outcomes in fracture-dislocations were generally poorer; the pain subscale of FAOS was worse in a statistically significant fashion.<\/jats:p>\n                  <jats:p>Levels of Evidence: Therapeutic, Level III<\/jats:p>","DOI":"10.1177\/1938640019826701","type":"journal-article","created":{"date-parts":[[2019,2,2]],"date-time":"2019-02-02T04:32:25Z","timestamp":1549081945000},"page":"18-26","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["Functional Outcomes After Fracture-Dislocation of the Ankle"],"prefix":"10.1177","volume":"13","author":[{"given":"Direk","family":"Tantigate","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York (DT, GH, JK, HCB, BA, CF, JKG, JTV)"},{"name":"Department of Orthopaedic Surgery, Siriraj Hospital Mahidol University, Bangkok, Thailand (DT)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York (DT, GH, JK, HCB, BA, CF, JKG, JTV)"},{"name":"Department of Orthopaedic Surgery, Siriraj Hospital Mahidol University, Bangkok, Thailand (DT)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Kirschenbaum","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York (DT, GH, JK, HCB, BA, CF, JKG, JTV)"},{"name":"Department of Orthopaedic Surgery, Siriraj Hospital Mahidol University, Bangkok, Thailand (DT)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4265-477X","authenticated-orcid":false,"given":"Henrik C.","family":"B\u00e4cker","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York (DT, GH, JK, HCB, BA, CF, JKG, JTV)"},{"name":"Department of Orthopaedic Surgery, Siriraj Hospital Mahidol University, Bangkok, Thailand (DT)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Asherman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York (DT, GH, JK, HCB, BA, CF, JKG, JTV)"},{"name":"Department of Orthopaedic Surgery, Siriraj Hospital Mahidol University, Bangkok, Thailand (DT)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Freibott","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York (DT, GH, JK, HCB, BA, CF, JKG, JTV)"},{"name":"Department of Orthopaedic Surgery, Siriraj Hospital Mahidol University, Bangkok, Thailand (DT)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin K","family":"Greisberg","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York (DT, GH, JK, HCB, BA, CF, JKG, JTV)"},{"name":"Department of Orthopaedic Surgery, Siriraj Hospital Mahidol University, Bangkok, Thailand (DT)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Turner","family":"Vosseller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York (DT, GH, JK, HCB, BA, CF, JKG, JTV)"},{"name":"Department of Orthopaedic Surgery, Siriraj Hospital Mahidol University, Bangkok, Thailand (DT)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,2,2]]},"reference":[{"key":"bibr1-1938640019826701","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.04.130"},{"key":"bibr2-1938640019826701","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2014.03.011"},{"key":"bibr3-1938640019826701","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-011-1472-7"},{"key":"bibr4-1938640019826701","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00949"},{"key":"bibr5-1938640019826701","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200407000-00002"},{"key":"bibr6-1938640019826701","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.2016-0199"},{"key":"bibr7-1938640019826701","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716688176"},{"key":"bibr8-1938640019826701","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.06.002"},{"key":"bibr9-1938640019826701","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2009.0728"},{"key":"bibr10-1938640019826701","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200605000-00007"},{"key":"bibr11-1938640019826701","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2005.02.002"},{"issue":"341","key":"bibr12-1938640019826701","first-page":"90","author":"Beris AE","year":"1997","journal-title":"Clin Orthop Relat Res"},{"key":"bibr13-1938640019826701","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-015-2353-0"},{"key":"bibr14-1938640019826701","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715572222"},{"key":"bibr15-1938640019826701","doi-asserted-by":"publisher","DOI":"10.1177\/1938640017692416"},{"key":"bibr16-1938640019826701","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102201004"},{"key":"bibr17-1938640019826701","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181b1542c"},{"key":"bibr18-1938640019826701","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714520694"},{"key":"bibr19-1938640019826701","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199004030-00018"},{"key":"bibr20-1938640019826701","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.01088"},{"key":"bibr21-1938640019826701","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00653"},{"key":"bibr22-1938640019826701","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0120"},{"key":"bibr23-1938640019826701","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-0846"}],"container-title":["Foot &amp; Ankle Specialist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640019826701","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1938640019826701","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640019826701","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:30:39Z","timestamp":1777411839000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1938640019826701"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,2]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1177\/1938640019826701"],"URL":"https:\/\/doi.org\/10.1177\/1938640019826701","relation":{},"ISSN":["1938-6400","1938-7636"],"issn-type":[{"value":"1938-6400","type":"print"},{"value":"1938-7636","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,2]]}}}