{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:43:13Z","timestamp":1761061393881,"version":"3.38.0"},"reference-count":23,"publisher":"SLACK, Inc.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[1978,9]]},"abstract":"<jats:p>ABSTRACT: When open reduction is indicated the lateral malleolus fracture should be reduced as accurately as the medial or posterior malleolar fragments. The cerclage for displaced oblique or spiral fractures of the lateral malleolus is a simple, effective way of internal fixation with a minimal amount of metal implanted. Under direct vision an anatomical reduction is achieved and maintained. The proper use of a 20- or 18 -gauge wire with a mechanical wire tightner-twister is mandatory. A below-the-knee plaster cast is necessary for support for an average of eight weeks. In this series, with correct technique, no wires have loosened or broken. There has been no resorption of bone or refracture at the wire-loop site. No second surgery has been needed for removal of wires. The case material included 50 cases of ankle fractures from 1964 through 1976. In a displaced bimalleolar or trimalleolar fracture, the cerclage can be used in conjunction with various other internal fixation screws or nails applied to the medial and\/or posterior malleolar fragment. The exact method varies depending on the type of fracture present. With increasing recognition of the importance of anatomic reduction of the lateral malleolus in the ankle fracture management, cerclage technique will contribute further toward the restoration of the normal ankle joint mechanics.<\/jats:p>","DOI":"10.3928\/0147-7447-19780901-04","type":"journal-article","created":{"date-parts":[[2021,4,22]],"date-time":"2021-04-22T03:03:03Z","timestamp":1619060583000},"page":"374-379","source":"Crossref","is-referenced-by-count":4,"title":["CERCLAGE OF THE LATERAL MALLEOLUS IN DISPLACED FRACTURES OF THE ANKLE"],"prefix":"10.3928","volume":"1","author":[{"given":"Indong","family":"Oh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanley H","family":"Nahigian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A S","family":"Salas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F B","family":"Zahrawi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"crossref","unstructured":"1. Brodie IAOD Denham RA: The treatment of unstable ankle fractures. J Bone Joint Surg 56B:256-262 1974.","DOI":"10.1302\/0301-620X.56B2.256"},{"key":"e_1_3_1_3_1","doi-asserted-by":"crossref","unstructured":"2. Burwell NH Charnley AD: The treatment of displaced fractures at the ankle by rigid internal fixation and early joint movement. J Bone Joint Surg 47B:634-660 1965.","DOI":"10.1302\/0301-620X.47B4.634"},{"key":"e_1_3_1_4_1","unstructured":"3. Cedell C-A: Ankle lesions. Acta Orthop Scand 46:425-445 1975."},{"key":"e_1_3_1_5_1","unstructured":"4. Danis R: Les fractures malleolaires. In Theorie et Pratique de L'osteosyntheise. Masson Paris 1949."},{"key":"e_1_3_1_6_1","doi-asserted-by":"crossref","unstructured":"5. Yablon IG Heller FG Shouse L: The key role of the lateral malleolus in displaced fractures of the ankle. J Bone Joint Surg 59A:169-173 1977.","DOI":"10.2106\/00004623-197759020-00005"},{"key":"e_1_3_1_7_1","unstructured":"6. Weinart CR McMaster JH Scranton PR Jr et al: In Bateman JB: Foot Science. Philadelphia WB Saunders 1976 pp 1-6."},{"key":"e_1_3_1_8_1","unstructured":"7. Willenegger H: Die Behandlung der Luxationsfrakturen des oberen Sprunggelenkes nach Biomechanischen Gesichtspunkten. Helvet Chir Acta 28:225-239 1961."},{"key":"e_1_3_1_9_1","doi-asserted-by":"crossref","unstructured":"8. Ramsey PL Hamilton W: Changes in tibio-talar area of contact caused by lateral talar shift. J Bone Joint Surg 58A:356-357 1976.","DOI":"10.2106\/00004623-197658030-00010"},{"key":"e_1_3_1_10_1","doi-asserted-by":"crossref","unstructured":"9. Lambert KL: The weight-bearing function of the fibula. J Bone Joint Surg 53A:507-513 1974.","DOI":"10.2106\/00004623-197153030-00007"},{"key":"e_1_3_1_11_1","doi-asserted-by":"crossref","unstructured":"10. Gregory J Patzakis MJ Harvey JP Jr: Precise evaluation of the reduction of severe ankle fractures. J Bone Joint Surg56A:979993 1974.","DOI":"10.2106\/00004623-197456050-00010"},{"key":"e_1_3_1_12_1","doi-asserted-by":"crossref","unstructured":"11. Wilson FCJr Skilbred LA: Long-term results in the treatment of displaced bimalleolar fractures. J Bone Joint Surg 48A: 10651078 1966.","DOI":"10.2106\/00004623-196648060-00004"},{"key":"e_1_3_1_13_1","doi-asserted-by":"crossref","unstructured":"12. Kleiger B: The treatment of the oblique fractures of the fibula. J Bone Joint Surg 43A:969-979 1961.","DOI":"10.2106\/00004623-196143070-00006"},{"key":"e_1_3_1_14_1","doi-asserted-by":"crossref","unstructured":"13. Mueller ME Allgower M: Technique of Internal Fixation of Fractures. New York Springer- Verlager 1965.","DOI":"10.1007\/978-3-642-88356-9"},{"key":"e_1_3_1_15_1","doi-asserted-by":"crossref","unstructured":"14. Solonen KA Lauttamus L: Operative treatment of ankle fractures. Acta Orthop Scand 39:223-237 1968.","DOI":"10.3109\/17453676808989456"},{"key":"e_1_3_1_16_1","unstructured":"15. Magnusson R: On the late results in nonoperated case of malleolar fractures. I. Fractures by external rotation. Acta Chir Scand 84(suppl) 1944."},{"key":"e_1_3_1_17_1","unstructured":"16. Cedell C-A: Supination outward injuries of the ankle. Acta Orthop Scand HO(suppl) 1967."},{"key":"e_1_3_1_18_1","unstructured":"17. Charnley J: The Closed Treatment of Common Fractures ed 3; Baltimore Williams & Wilkins Co 1961 pp 24-26."},{"key":"e_1_3_1_19_1","unstructured":"18. Gothman L: Local arterial changes associated with experimental fractures of the rabbit's tibia treated with encercling wires (cerclage) - a microangiographic study. Acta Chir Scand 123:1-11 1962."},{"key":"e_1_3_1_20_1","doi-asserted-by":"crossref","unstructured":"19. Rhinelander FW: The normal microcirculation of diaphyseal cortex and its response to fracture. J Bone Joint Surg 50 A:784880 1968.","DOI":"10.2106\/00004623-196850040-00016"},{"key":"e_1_3_1_21_1","doi-asserted-by":"crossref","unstructured":"20. MacNab I De Hass WG: The role of periosteal blood supply in the healing of fractures of the tibia. Clin Orthop 105:27-33 1974.","DOI":"10.1097\/00003086-197411000-00004"},{"key":"e_1_3_1_22_1","doi-asserted-by":"crossref","unstructured":"21. Rhinelander FW: Minimal internal fixation of tibial fractures. Clin Orthop 107:188-220 1975.","DOI":"10.1097\/00003086-197503000-00024"},{"key":"e_1_3_1_23_1","doi-asserted-by":"crossref","unstructured":"22. Buhler J: Percutaneous cerclage of tibial fractures. Clin Orthop 105:276-282 1974.","DOI":"10.1097\/00003086-197411000-00019"},{"key":"e_1_3_1_24_1","doi-asserted-by":"crossref","unstructured":"23. Rhinelander FW: Instruments for use with flexible steel wire in bone surgery. J Bone Joint Surg 40A:365-374 1958.","DOI":"10.2106\/00004623-195840020-00009"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T21:39:09Z","timestamp":1740519549000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/0147-7447-19780901-04"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1978,9]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1978,9]]}},"alternative-id":["10.3928\/0147-7447-19780901-04"],"URL":"https:\/\/doi.org\/10.3928\/0147-7447-19780901-04","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"type":"print","value":"0147-7447"},{"type":"electronic","value":"1938-2367"}],"subject":[],"published":{"date-parts":[[1978,9]]}}}