{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T15:12:04Z","timestamp":1791645124554,"version":"4.3.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"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":[[2015,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>To compare the outcome after early versus late surgery for closed ankle fractures in terms of the length of hospital stay and infection rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>Records of 95 men and 119 women aged 14 to 92 (mean, 46) years who underwent open reduction and internal fixation for ankle fractures during three 6-month periods in 2004, 2007, and 2010 were reviewed. 82 and 132 patients underwent surgery &lt;24 hours and &gt;24 hours after presentation, respectively. The most common reason for delayed surgery was unavailability of the operation theatre, followed by delayed admission to the fracture clinic and excess soft tissue swelling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>Patient and injury characteristics of the 3 study periods were comparable (p=0.399). The early and late surgery groups were comparable in proportions of various fracture patterns but not in patient age (40 vs. 49 years, p=0.002). The mean postoperative length of hospital stay was shorter in the early surgery group (2.9 vs. 5.5 days, p=0.009). The 2 groups did not differ significantly in the infection rate (7% vs. 11%, p=0.589) or the need for additional surgery (3.7% vs. 5.3%, p=0.63).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>Patients with delayed surgery for ankle fracture had a longer postoperative length of hospital stay. Surgery should be performed within 24 hours of injury to minimise the length of hospital stay.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/230949901502300317","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:14:58Z","timestamp":1475601298000},"page":"341-344","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":34,"title":["Early versus Late Surgery for Closed Ankle Fractures"],"prefix":"10.1177","volume":"23","author":[{"given":"Rohit Amol","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics, Robert Jones Agnes Hunt Orthopaedic Hospital, United Kingdom"},{"name":"Department of Trauma and Orthopaedics, University Hospital of Wales, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Trickett","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, University Hospital of Wales, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Hodgson","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, University Hospital of Wales, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,12,1]]},"reference":[{"key":"bibr1-230949901502300317","doi-asserted-by":"publisher","DOI":"10.3109\/17453679809002355"},{"key":"bibr2-230949901502300317","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713477626"},{"key":"bibr3-230949901502300317","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197658030-00010"},{"key":"bibr4-230949901502300317","doi-asserted-by":"publisher","DOI":"10.3109\/ort.1981.52.suppl-189.01"},{"key":"bibr5-230949901502300317","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713510913"},{"key":"bibr6-230949901502300317","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/00003086-198702000-00027","volume":"215","author":"Fogel GR","year":"1987","journal-title":"Clin Orthop Relat Res"},{"key":"bibr7-230949901502300317","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2008.0887"},{"key":"bibr8-230949901502300317","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(00)00254-0"},{"key":"bibr9-230949901502300317","first-page":"6","volume":"89","author":"H\u00f8iness P","year":"2000","journal-title":"Ann Chir Gynaecol"},{"key":"bibr10-230949901502300317","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567010-00010"},{"key":"bibr11-230949901502300317","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197860020-00015"},{"key":"bibr12-230949901502300317","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714524555"},{"key":"bibr13-230949901502300317","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.56B3.469"},{"key":"bibr14-230949901502300317","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(88)90142-8"},{"key":"bibr15-230949901502300317","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-012-1753-9"},{"key":"bibr16-230949901502300317","doi-asserted-by":"publisher","DOI":"10.1308\/003588410X12699663904358"},{"key":"bibr17-230949901502300317","doi-asserted-by":"publisher","DOI":"10.1308\/003588406X106504"},{"key":"bibr18-230949901502300317","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199505000-00003"},{"key":"bibr19-230949901502300317","doi-asserted-by":"crossref","first-page":"7","DOI":"10.2106\/JBJS.L.00298","volume":"94","author":"Highcock AJ","year":"2012","journal-title":"J Bone Joint Surg Br"},{"key":"bibr20-230949901502300317","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2004.06.015"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901502300317","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901502300317","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:21:40Z","timestamp":1777594900000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949901502300317"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["10.1177\/230949901502300317"],"URL":"https:\/\/doi.org\/10.1177\/230949901502300317","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12]]}}}