{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:27:55Z","timestamp":1791559675867,"version":"4.3.4"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"4","license":[{"start":{"date-parts":[[2003,5,1]],"date-time":"2003-05-01T00:00:00Z","timestamp":1051747200000},"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":[[2003,5]]},"abstract":"<jats:p> Consecutive patients with a confirmed rupture of at least one of the lateral ligaments of the ankle were randomly assigned to receive either operative or functional treatment. They were evaluated at a median of 8 years (6 to 11). <\/jats:p><jats:p> In total, 370 patients were included. Follow-up was available for 317 (86%). Fewer patients allocated to operative treatment reported residual pain compared with those who had been allocated to functional treatment (16% versus 25%, RR 0.64, CI 041 to 1.0). Fewer surgically-treated patients reported symptoms of giving way (20% versus 32%, RR 0.62, CI 0.42 to 0.92) and recurrent sprains (22% versus 34%, RR 0.66, CI 0.45 to 0.94). The anterior drawer test was less frequently positive in surgically-treated patients (30% versus 54%, RR 0.54, CI 0.41 to 0.72). The median Povacz score was significantly higher in the operative group (26 versus 22, p &lt; 0.001). <\/jats:p><jats:p> Compared with functional treatment, operative treatment gives a better long-term outcome in terms of residual pain, recurrent sprains and stability. <\/jats:p>","DOI":"10.1302\/0301-620x.85b4.13928","type":"journal-article","created":{"date-parts":[[2003,7,15]],"date-time":"2003-07-15T22:32:53Z","timestamp":1058308373000},"page":"525-530","source":"Crossref","is-referenced-by-count":118,"title":["Operative and functional treatment of rupture of the lateral ligament of the ankle"],"prefix":"10.1302","volume":"85-B","author":[{"given":"A. C. M.","family":"Pijnenburg","sequence":"first","affiliation":[{"name":"Orthopaedic Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Bogaard","sequence":"additional","affiliation":[{"name":"Orthopaedic Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Krips","sequence":"additional","affiliation":[{"name":"Orthopaedic Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. K.","family":"Marti","sequence":"additional","affiliation":[{"name":"Orthopaedic Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. M. M.","family":"Bossuyt","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology and Biostatistics, Academic Medical Centre, PO Box 22700 1100 BE, Amsterdam, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. N.","family":"van Dijk","sequence":"additional","affiliation":[{"name":"Orthopaedic Research Centre"}],"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.85B4.13928","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.85B4.13928","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T20:13:26Z","timestamp":1629144806000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.85B4.13928"}},"subtitle":["A RANDOMISED, PROSPECTIVE TRIAL"],"short-title":[],"issued":{"date-parts":[[2003,5]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2003,5]]}},"alternative-id":["10.1302\/0301-620X.85B4.13928"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.85b4.13928","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,5]]}}}