{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T20:40:41Z","timestamp":1781815241861,"version":"3.54.5"},"reference-count":29,"publisher":"SLACK, Inc.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2011,4,11]]},"abstract":"<jats:p>Treatment of Lauge-Hansen supination\u2013eversion (SE)4-equivalent ankle fractures is controversial. This retrospective study conducted at a level-I trauma center compared the clinical outcome of nonsurgical vs open management of these fractures. One thousand eight ankle fractures treated between 1998 and 2003 were reviewed. Forty-three patients who met the criteria for a SE4-equivalent ankle fracture were identified. Average patient age of 23 men and 20 women was 42 years (range, 18\u201384 years). Olerud Molander ankle scores were recorded. Medical records and radiographs of all patients were reviewed. Average follow-up was 20 months.<\/jats:p>\n          <jats:p>\n            Twenty-six patients were treated nonsurgically, with an average ankle score of 84\u00b14. Seventeen patients treated surgically had an average ankle score of 63\u00b15. The difference is statistically significant (unpaired t test,\n            <jats:italic>P<\/jats:italic>\n            =.0035). There was no difference between open vs closed treatment in maintaining a reduction. To investigate the reason for poor results in the surgical group, we sought an association between functional ankle score and common covariables and found that age and preoperative radiographic grading were important variables for ankle score. Patients younger than 30 years had an average ankle score of 85, whereas those older than 50 years had an average score of 61 (\n            <jats:italic>P<\/jats:italic>\n            &lt;.001). Type 1 fractures (medial clear space &gt;5 mm in stress view only) had an average ankle score of 89, type 2 (medial clear space &gt;5 mm but &lt;10 mm) an average score of 76, and type 3 (medial clear space &gt;10 mm or presented with fracture dislocation and\/or syndesmosis injury) an average score of 61. Our data support that type 1 and 2 fractures can effectively be treated nonsurgically.\n          <\/jats:p>","DOI":"10.3928\/01477447-20110228-08","type":"journal-article","created":{"date-parts":[[2013,2,14]],"date-time":"2013-02-14T16:59:37Z","timestamp":1360861177000},"source":"Crossref","is-referenced-by-count":13,"title":["Surgical Versus Nonsurgical Treatment of the SE4-Equivalent Ankle Fracture: A Retrospective Functional Outcome Study"],"prefix":"10.3928","volume":"34","author":[{"given":"Edward","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yangguan","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Job","family":"Dorcil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(59)92306-2"},{"issue":"4","key":"e_1_3_1_3_2","first-page":"356","article-title":"Characteristics and operative management of supination external rotation ankle fractures","volume":"30","author":"Reinherz RP","year":"1991","unstructured":"Reinherz RP, Granoff SR, Henning KE, Ross BS. Characteristics and operative management of supination external rotation ankle fractures. J Foot Surg. 1991; 30(4):356\u2013363.","journal-title":"J Foot Surg"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453679809002355"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.3109\/ort.1981.52.suppl-189.01"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453678008990784"},{"issue":"4","key":"e_1_3_1_7_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 [in Czech]","volume":"69","author":"Jehlicka D","year":"2002","unstructured":"Jehlicka D, Barton\u00edcek J, Svatos F, Dobi\u00e1s J. Fracture-dislocations of the ankle joint in adults. Part I: epidemiologic evaluation of patients during a 1-year period [in Czech]. Acta Chir Orthop Traumatol Cech. 2002; 69(4):243\u2013247.","journal-title":"Acta Chir Orthop Traumatol Cech"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200204000-00007"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200311000-00004"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31812eed25"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200211000-00019"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200410000-00007"},{"issue":"199","key":"e_1_3_1_13_2","first-page":"12","article-title":"Classification of ankle fractures: the Lauge-Hansen or AO system?","author":"Lindsj\u00f6 U","year":"1985","unstructured":"Lindsj\u00f6 U. Classification of ankle fractures: the Lauge-Hansen or AO system? Clin Orthop Relat Res. 1985; (199):12\u201316.","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"e_1_3_1_14_2","first-page":"1","article-title":"Orthopaedic Trauma Association Committee for Coding and Classification","volume":"10","author":"Fracture and dislocation compendium","year":"1996","unstructured":"Fracture and dislocation compendium. Orthopaedic Trauma Association Committee for Coding and Classification. 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