{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:00:08Z","timestamp":1777615208210,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T00:00:00Z","timestamp":1597190400000},"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":[[2020,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>When intraoperative computed tomography (CT) is unavailable, open syndesmosis assessment is a universally available, safe alternative that is more accurate than radiographic assessment. However, it has a documented malreduction rate of up to 16%. This may be improved upon with a validated technique for assessing the accuracy of open syndesmosis reductions. The \u201ctibiofibular line\u201d (TFL) is a CT-based technique found to be sensitive for malreduction. The purpose of this study was to assess the feasibility of adapting the CT-TFL method into a reliable intraoperative open technique by refining the methodology of previous work exploring the clinical TFL technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Three observers were instructed to clinically simulate the TFL on cadaveric lower limbs. For each specimen, observers repeated and recorded 3 clinical TFL measurements for each of 4 measurement series representing different degrees of fibula reduction. Intraclass correlation was used to assess intra- and interobserver reliabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Mean intraobserver reliability was .88. Mean interobserver reliability was .75. Both intra- and interobserver reliabilities were highest for anatomic syndesmosis reduction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The findings of excellent to near perfect intraobserver and good to excellent interobserver reliability indicate the feasibility of translating the CT-TFL into a reliable open technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Levels of Evidence:<\/jats:title>\n                    <jats:p>Level III: Diagnostic study<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1938640020948667","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T04:45:38Z","timestamp":1597207538000},"page":"516-521","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Reliability of the \u201cClinical Tibiofibular Line\u201d Technique for Open Syndesmosis Reduction Assessment"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2780-2746","authenticated-orcid":false,"given":"Anthony A.","family":"Pollizzi","sequence":"first","affiliation":[{"name":"College of Medicine, University of Florida, Gainesville, Florida (AAP)"},{"name":"Department of Physical Medicine and Rehabilitation, College of Medicine, University of Florida, Gainesville, Florida (DCH)"},{"name":"Orthopedic Foot and Ankle Center, Westerville, Ohio (GCB)"},{"name":"OhioHealth Grant Medical Center, Columbus, Ohio (GCB)"},{"name":"Department of Orthopaedics and Rehabilitation, College of Medicine, University of Florida, Gainesville, Florida (CWR)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel C.","family":"Herman","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Florida, Gainesville, Florida (AAP)"},{"name":"Department of Physical Medicine and Rehabilitation, College of Medicine, University of Florida, Gainesville, Florida (DCH)"},{"name":"Orthopedic Foot and Ankle Center, Westerville, Ohio (GCB)"},{"name":"OhioHealth Grant Medical Center, Columbus, Ohio (GCB)"},{"name":"Department of Orthopaedics and Rehabilitation, College of Medicine, University of Florida, Gainesville, Florida (CWR)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7883-1926","authenticated-orcid":false,"given":"Gregory C.","family":"Berlet","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Florida, Gainesville, Florida (AAP)"},{"name":"Department of Physical Medicine and Rehabilitation, College of Medicine, University of Florida, Gainesville, Florida (DCH)"},{"name":"Orthopedic Foot and Ankle Center, Westerville, Ohio (GCB)"},{"name":"OhioHealth Grant Medical Center, Columbus, Ohio (GCB)"},{"name":"Department of Orthopaedics and Rehabilitation, College of Medicine, University of Florida, Gainesville, Florida (CWR)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2782-0423","authenticated-orcid":false,"given":"Christopher W.","family":"Reb","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Florida, Gainesville, Florida (AAP)"},{"name":"Department of Physical Medicine and Rehabilitation, College of Medicine, University of Florida, Gainesville, Florida (DCH)"},{"name":"Orthopedic Foot and Ankle Center, Westerville, Ohio (GCB)"},{"name":"OhioHealth Grant Medical Center, Columbus, Ohio (GCB)"},{"name":"Department of Orthopaedics and Rehabilitation, College of Medicine, University of Florida, Gainesville, Florida (CWR)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,8,12]]},"reference":[{"key":"bibr1-1938640020948667","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198510000-00005"},{"key":"bibr2-1938640020948667","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldu020"},{"key":"bibr3-1938640020948667","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31822a526a"},{"key":"bibr4-1938640020948667","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3182694766"},{"key":"bibr5-1938640020948667","doi-asserted-by":"publisher","DOI":"10.3113\/FAI-2009-0419"},{"key":"bibr6-1938640020948667","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001485"},{"key":"bibr7-1938640020948667","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717709576"},{"key":"bibr8-1938640020948667","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200502000-00006"},{"key":"bibr9-1938640020948667","first-page":"98","volume":"1","author":"Rasi 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