{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T11:44:53Z","timestamp":1788435893726,"version":"build-2803163510"},"reference-count":17,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2019,9,20]],"date-time":"2019-09-20T00:00:00Z","timestamp":1568937600000},"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":[[2020,10]]},"abstract":"<jats:p>Background. The most common method of surgical stabilization of fibular fractures is plate osteosynthesis. Despite its ubiquity, there is a dearth of large series reporting implant-related outcomes and complications. The purpose of this study was to report on short-term complications and hardware removal after plate fixation of distal fibula fractures. Methods. A retrospective chart analysis and review of radiographic images was performed of 461 ankle fractures between 2011 and 2017. In 404 cases, a fibular fracture was treated surgically; 94.1% underwent tubular and 5.9% locking plate fixation. The primary outcome was radiographic union, with a mean follow-up of 11.6 months. Minor, intermediate, and major complications were recorded as well as the rate of hardware removal. Results. The union-rate with plate fixation was 99.5% (402\/404). The overall complication rate was 19.3% (n = 78\/404). Of these complications, 79.5% (62\/78) were considered minor. These complications included erythema, heterotopic ossification, neurapraxia, delayed union, and deep-vein thrombosis; 20.5% (16\/78) of the complications were considered intermediate (9\/78, 11.5%) or major (7\/78, 9.0%). Intermediate and major complications included deep infection, nonunion\/malunion, and osteomyelitis. Subsequent surgery was needed in 7 cases (1.7%, 7\/404). In another 93 patients, hardware-related symptoms were identified: 23 (5.7%) underwent syndesmosis screw removal and 54 (13.4%) hardware removal. No correlation to the fixation technique was identified. Conclusion. This study shows a relatively low rate of major complications and a high union rate of 99.5% for fibular plate osteosynthesis in a large cohort. Any other treatment, including other fixation techniques, will need to show an equivalent or better complication and reoperation profile.<\/jats:p>\n                  <jats:p>Level of Evidence: Level III: Retrospective, comparative study<\/jats:p>","DOI":"10.1177\/1938640019873539","type":"journal-article","created":{"date-parts":[[2019,9,20]],"date-time":"2019-09-20T09:55:30Z","timestamp":1568973330000},"page":"378-382","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Fibular Plate Fixation and Correlated Short-term Complications"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4265-477X","authenticated-orcid":false,"given":"Henrik Constantin","family":"B\u00e4cker","sequence":"first","affiliation":[{"name":"the Department of Orthopaedic Surgery, Columbia University Medical Center, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin K.","family":"Greisberg","sequence":"additional","affiliation":[{"name":"the Department of Orthopaedic Surgery, Columbia University Medical Center, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Turner","family":"Vosseller","sequence":"additional","affiliation":[{"name":"the Department of Orthopaedic Surgery, Columbia University Medical Center, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,9,20]]},"reference":[{"key":"bibr1-1938640019873539","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.04.130"},{"key":"bibr2-1938640019873539","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199611000-00013"},{"key":"bibr3-1938640019873539","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/5250672"},{"key":"bibr4-1938640019873539","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-015-0081-6"},{"key":"bibr5-1938640019873539","doi-asserted-by":"publisher","DOI":"10.1007\/s11751-011-0107-2"},{"key":"bibr6-1938640019873539","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-006-0216-6"},{"issue":"213","key":"bibr7-1938640019873539","first-page":"125","author":"McLennan JG","year":"1986","journal-title":"Clin Orthop Relat Res"},{"key":"bibr8-1938640019873539","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2018.03.001"},{"key":"bibr9-1938640019873539","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2018.03.033"},{"key":"bibr10-1938640019873539","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200707000-00005"},{"key":"bibr11-1938640019873539","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B9.35837"},{"key":"bibr12-1938640019873539","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.11.035"},{"key":"bibr13-1938640019873539","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1653949"},{"key":"bibr14-1938640019873539","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716674975"},{"key":"bibr15-1938640019873539","doi-asserted-by":"publisher","DOI":"10.1177\/107110070302401006"},{"issue":"259","key":"bibr16-1938640019873539","first-page":"204","author":"Winkler B","year":"1990","journal-title":"Clin Orthop Relat Res"},{"key":"bibr17-1938640019873539","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2018.05.006"}],"container-title":["Foot &amp; Ankle Specialist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640019873539","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1938640019873539","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640019873539","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:30:49Z","timestamp":1777411849000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1938640019873539"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,20]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1177\/1938640019873539"],"URL":"https:\/\/doi.org\/10.1177\/1938640019873539","relation":{},"ISSN":["1938-6400","1938-7636"],"issn-type":[{"value":"1938-6400","type":"print"},{"value":"1938-7636","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9,20]]}}}