{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T01:12:16Z","timestamp":1784250736166,"version":"3.55.0"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"4","license":[{"start":{"date-parts":[[2001,5,1]],"date-time":"2001-05-01T00:00:00Z","timestamp":988675200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2001,5]]},"abstract":"<jats:p> Forty-seven patients over the age of 55 years with a displaced fracture of the ankle were entered into a prospective, randomised study in order to compare open reduction and internal fixation with closed treatment in a plaster cast; 36 were reviewed after a mean of 27 months. The outcome was assessed clinically, radiologically and functionally using the Olerud score. <\/jats:p><jats:p> The results showed that anatomical reduction was significantly less reliable (p = 0.03) and loss of reduction significantly more common (p = 0.001) in the group with closed treatment. Those managed by open reduction and internal fixation had a significantly higher functional outcome score (p = 0.03) and a significantly better range of movement of the ankle (p = 0.044) at review. <\/jats:p>","DOI":"10.1302\/0301-620x.83b4.0830525","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T19:24:40Z","timestamp":1519241080000},"page":"525-529","source":"Crossref","is-referenced-by-count":263,"title":["Conservative <i>versus<\/i> operative treatment for displaced ankle fractures in patients over 55 years of age"],"prefix":"10.1302","volume":"83-B","author":[{"given":"N. K.","family":"Makwana","sequence":"first","affiliation":[{"name":"Trauma Orthopaedic Surgery, University Hospitals of Leicester NHS Trust, Groby Road, Leicester LE3 9QP, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Bhowal","sequence":"additional","affiliation":[{"name":"Trauma Orthopaedic Surgery, University Hospitals of Leicester NHS Trust, Groby Road, Leicester LE3 9QP, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. M.","family":"Harper","sequence":"additional","affiliation":[{"name":"Trauma Orthopaedic Surgery, University Hospitals of Leicester NHS Trust, Groby Road, Leicester LE3 9QP, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. W.","family":"Hui","sequence":"additional","affiliation":[{"name":"Middlesborough General Hospital, Ayresome Green Lane, Middlesborough TS5 5AZ, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.83B4.0830525","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.83B4.0830525","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:48:37Z","timestamp":1629143317000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.83B4.0830525"}},"subtitle":["A PROSPECTIVE, RANDOMISED STUDY"],"short-title":[],"issued":{"date-parts":[[2001,5]]},"references-count":0,"aliases":["10.1302\/0301-620x.83b4.11522","10.1302\/0301-620x.83b4.11522"],"journal-issue":{"issue":"4","published-print":{"date-parts":[[2001,5]]}},"alternative-id":["10.1302\/0301-620X.83B4.0830525"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.83b4.0830525","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,5]]}}}