{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:50:11Z","timestamp":1777881011413,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T00:00:00Z","timestamp":1588291200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2020,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose of this study was to clinically compare the single-incision and dual-incision approaches for the treatment of distal tibial and fibular fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In total, 93 patients were enrolled, and the mean follow-up was 15 months (range 12\u201319 months). The patients treated for open reduction and internal fixation were randomly classified into two groups based on the approach used: 45 patients were treated using the single-incision approach (group 1) and 48 patients were treated using the dual-incision approach (group 2). In these two groups, operation time, discharge time, postoperative complications, and ankle function evaluations (Olerud\u2013Molander Ankle Score) were compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were no significant differences in the mean operation time (98.2 \u00b1 18.5 vs. 103.6 \u00b1 19.3), discharge time (11.1 \u00b1 3.9 vs. 12.5 \u00b1 5.7), overall surgical complication rates (9\/45 vs. 15\/48), or ankle function between the two groups ( p &gt; 0.05). However, the rate of soft tissue-related complications, such as skin slough, infection, nonunion, and delayed union, was significantly lower in group 1 (5\/45) than in group 2 (14\/48) ( p &lt; 0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The two incision approaches were found to have similar clinical outcomes. However, with regard to soft tissue conservation, the single-incision approach was superior to the dual-incision and maybe a reliable alternative.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2309499020930305","type":"journal-article","created":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T03:54:45Z","timestamp":1592193285000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Clinical comparison of single-incision and dual-incision approaches for the treatment of distal tibial and fibular fractures: A randomized controlled trial"],"prefix":"10.1177","volume":"28","author":[{"given":"Lin","family":"An","sequence":"first","affiliation":[{"name":"Department of Traumatic Orthopedics, Ningbo No. 6 Hospital, Ningbo, Zhejiang, People\u2019s Republic of China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingwei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Traumatic Orthopedics, Ningbo No. 6 Hospital, Ningbo, Zhejiang, People\u2019s Republic of China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weihu","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Traumatic Orthopedics, Ningbo No. 6 Hospital, Ningbo, Zhejiang, People\u2019s Republic of China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Limei","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Traumatic Orthopedics, Ningbo No. 6 Hospital, Ningbo, Zhejiang, People\u2019s Republic of China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xianfeng","family":"He","sequence":"additional","affiliation":[{"name":"Department of Traumatic Orthopedics, Ningbo No. 6 Hospital, Ningbo, Zhejiang, People\u2019s Republic of 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Orthopedics, Ningbo No. 6 Hospital, Ningbo, Zhejiang, People\u2019s Republic of China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,6,15]]},"reference":[{"key":"bibr1-2309499020930305","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(00)80035-2"},{"key":"bibr2-2309499020930305","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.12.027"},{"key":"bibr3-2309499020930305","doi-asserted-by":"publisher","DOI":"10.1007\/s001040050456"},{"key":"bibr4-2309499020930305","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199911000-00022"},{"key":"bibr5-2309499020930305","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-013-1856-9"},{"key":"bibr6-2309499020930305","doi-asserted-by":"crossref","first-page":"429","DOI":"10.3928\/0147-7447-20000501-10","volume":"23","author":"Shantharam 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