{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T01:27:14Z","timestamp":1783733234903,"version":"3.55.0"},"reference-count":11,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"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":["Video Journal of Sports Medicine"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Advantages of using an intramedullary (IM) nail over a lateral plate for fixation of distal fibula fractures include the ability to allow for earlier weightbearing and return to sport, smaller incisions, and decreased hardware prominence. When comparing a fibular nail with an IM screw, the nail allows for syndesmosis fixation through the device and imparts rotational stability. Long-term studies support the viability and clinical outcomes of using an IM nail. In this technique video, a case is presented to illustrate the use of an IM nail for fixation of a distal fibula fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Indications:<\/jats:title>\n                    <jats:p>Distal fibula fractures should be treated operatively in the following cases: open fractures, bimalleolar fractures, or lateral malleolar fractures with medial clear space widening, displacement &gt;3 mm, or decreased tib-fib overlap, increased talocrural angle, any talar displacement, fracture-dislocation, or nonunion. When treating these fractures operatively, it is crucial to get an anatomic reduction, as this will lead to a satisfactory outcome. By restoring the anatomy, the talar shift is decreased, and a normal tibiotalar contact area is approached.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique Description:<\/jats:title>\n                    <jats:p>Percutaneous incisions are made around the fracture to place a clamp and hold anatomic reduction. Once reduced, a small incision is made 1cm distal to the fibular tip and in line with its axis. The start point is checked with the K-wire on anteroposterior and lateral views. An opening reamer is used, followed by a flexible guidewire and then a proximal reamer. Talons are deployed once the appropriate position is confirmed, and interlocking screws are placed through the guide. Syndesmosis fixation is added if necessary.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The success rate for achieving good outcomes is high at 90%. Patients should be counseled that their braking time while driving is normal at around 9 weeks and that overall recovery is about 2 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion\/Conclusion:<\/jats:title>\n                    <jats:p>This technique should not be used if the 6.2-mm opening reamer will breach the cortex, and should not be used if a plate will provide superior fixation. Like with any nailing procedure, obtaining and maintaining the reduction is paramount. A proper start point is critical for optimal fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient Consent Disclosure Statement:<\/jats:title>\n                    <jats:p>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26350254261452269","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:00:26Z","timestamp":1782381626000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Minimally Invasive Fixation of a Distal Fibula Fracture With an Intramedullary Nail"],"prefix":"10.1177","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4861-0524","authenticated-orcid":false,"given":"Jothi","family":"Murali-Larson","sequence":"first","affiliation":[{"name":"SMART Orthopaedic Surgery, Campbell, California, USA"},{"name":"Department of Orthopaedics, University of California\u2013San Francisco, San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2022.02.005"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2017.08.008"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007211017470"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/jeo2.70392"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000002329"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOSGlobal-D-24-00119"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2018.08.028"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715622392"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000002140"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/2473011419888505"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-024-05032-z"}],"container-title":["Video Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26350254261452269","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26350254261452269","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26350254261452269","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T08:16:20Z","timestamp":1782548180000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26350254261452269"}},"subtitle":[],"editor":[{"given":"Jocelyn R.","family":"Wittstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Jennifer","family":"Beck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Claudia","family":"Arias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Camille","family":"Coates-Clark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/26350254261452269"],"URL":"https:\/\/doi.org\/10.1177\/26350254261452269","relation":{},"ISSN":["2635-0254","2635-0254"],"issn-type":[{"value":"2635-0254","type":"print"},{"value":"2635-0254","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"article-number":"26350254261452269"}}