{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T02:54:08Z","timestamp":1790391248792,"version":"4.1.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"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":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The study described a novel surgical treatment of Haraguchi type 1 posterior malleolar fracture in tri-malleolar fracture and patient outcomes at intermediate period follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All patients from January 2015 to December 2017 with tri-malleolar fracture of which posterior malleolar fractures were Haraguchi type 1, were surgically treated in this prospective study. Lateral and medial malleolar fractures were managed by open reduction and internal fixation through dual incision approaches. 36 cases of Haraguchi type 1 posterior malleolar fractures were randomly performed by percutaneous posteroanterior screw fixation with the aid of medial exposure (group 1). And 40 cases were performed by percutaneous anteroposterior screw fixation (group 2). Clinical outcomes, radiographic outcomes and patient-reported outcomes were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Seventy-six patients with mean follow-up of 30 months were included. There were no significant differences in the mean operation time (81.0 \u00b1 11.3 vs. 77.2 \u00b1 12.4), ankle function at different periods of follow-up, range of motions and visual analog scale (VAS) at 24 months between the two groups (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &gt; 0.05). However, the rate of severe post-traumatic arthritis (Grade 2 and 3) and the rate of step-off rather than gap in radiological evaluation were lower in group 1 than that in group 2 (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Using our surgical technique, more patients had good outcome with a lower rate of severe post-traumatic arthritis, compared with the group of percutaneous anteroposterior screw fixation. Percutaneous posteroanterior screw fixation can be a convenient and reliable alternative in treating Haraguchi type 1 posterior malleolar fracture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2309499021997996","type":"journal-article","created":{"date-parts":[[2021,2,28]],"date-time":"2021-02-28T11:08:52Z","timestamp":1614510532000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Percutaneous posteroanterior screw fixation for Haraguchi type 1 posterior malleolar fracture in tri-malleolar fracture: Operative technique and randomized clinical results"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2803-9842","authenticated-orcid":false,"given":"Tianming","family":"Yu","sequence":"first","affiliation":[{"name":"Ningbo No. 6 Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jichong","family":"Ying","sequence":"additional","affiliation":[{"name":"Ningbo No. 6 Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianlei","family":"Liu","sequence":"additional","affiliation":[{"name":"Ningbo No. 6 Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dichao","family":"Huang","sequence":"additional","affiliation":[{"name":"Ningbo No. 6 Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hailin","family":"Yan","sequence":"additional","affiliation":[{"name":"Ningbo No. 6 Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baiping","family":"Xiao","sequence":"additional","affiliation":[{"name":"Ningbo No. 6 Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3787-015X","authenticated-orcid":false,"given":"Yunqiang","family":"Zhuang","sequence":"additional","affiliation":[{"name":"Ningbo No. 6 Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,2,28]]},"reference":[{"key":"e_1_3_2_2_2","first-page":"243","article-title":"Fracture-dislocations of the ankle joint in adults. Part I: epidemiologic evaluation of patients during a 1-year period","volume":"69","author":"Jehlicka D","year":"2002","unstructured":"Jehlicka D, Barton\u00edcek J, Svatos F, et al. Fracture-dislocations of the ankle joint in adults. Part I: epidemiologic evaluation of patients during a 1-year period. 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CT controlled results of direct reduction and fixation of posterior malleolus in ankle fractures. 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