{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T17:52:49Z","timestamp":1781977969282,"version":"3.54.5"},"reference-count":13,"publisher":"SLACK, Inc.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:p>\n            Ankle fractures with a posterior malleolus component are complex injuries. The most commonly used operative methods include indirect reduction via a percutaneous anterior approach and direct reduction via a posterolateral approach. For large posterior malleolus fractures with medial extension, direct reduction via a posteromedial approach is an alternative operative option. The authors hypothesized that fixation of large posterior malleolus fractures via a posteromedial approach results in anatomic reduction and stable plate fixation. From 2008 to 2015, 22 (9.0%) of 244 consecutive operative ankle fractures were identified as posterior malleolus fractures treated using a posteromedial approach. Patient charts were retrospectively reviewed for demographics, operative details, follow-up time, and any postoperative complications. Postoperative radiographs were reviewed to ensure that anatomic reduction and stable fixation was maintained. Sixteen (72.7%) of 22 patients were female, and the average age at the time of surgery was 54.1 years (range, 26\u201386 years). The average follow-up time was 13.0 months (range, 2.0\u201341.4 months). Twenty-one (95.5%) of 22 patients healed on a radiographic and clinical basis. There was an 18.2% (4 of 22) postoperative complication rate: 1 patient had a nonunion, 1 patient had cellulitis, 1 patient had osteomyelitis involving the fibula, and 1 patient had symptomatic heterotopic ossification. Open reduction and internal fixation of posterior malleolus fractures via a posteromedial approach achieved anatomic reduction, stable plate fixation, and complete healing in all but 1 patient. This study demonstrates that the posteromedial approach is a reasonable alternative to other more commonly used methods for treating these fractures. [\n            <jats:italic>Orthopedics<\/jats:italic>\n            . 2020;43(3):e166\u2013e170.]\n          <\/jats:p>","DOI":"10.3928\/01477447-20200213-01","type":"journal-article","created":{"date-parts":[[2020,2,20]],"date-time":"2020-02-20T16:55:32Z","timestamp":1582217732000},"source":"Crossref","is-referenced-by-count":8,"title":["Open Reduction and Internal Fixation of Posterior Malleolus Fractures via a Posteromedial Approach"],"prefix":"10.3928","volume":"43","author":[{"given":"Robert M.","family":"Zbeda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven Paul","family":"Friedel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart D.","family":"Katchis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lon","family":"Weiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-21-01-32"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714537630"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31819b0b23"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2015.04.001"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0385"},{"key":"e_1_3_1_7_2","first-page":"2147","volume-title":"Rockwood and Green's Fractures in Adults","author":"Marsh JL","year":"2006","unstructured":"Marsh JL, Saltzman CL. Ankle fractures. In: , Rockwood CA, Green DP, Bucholz RW, eds. Rockwood and Green's Fractures in Adults. 6th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2006:2147\u20132242.","edition":"6"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173030-00005"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274080-00010"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000203489.21206.a9"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-1111-4"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200605000-00020"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070402501005"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e318184ba4e"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20200213-01","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T06:28:02Z","timestamp":1683095282000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20200213-01"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,5]]}},"alternative-id":["10.3928\/01477447-20200213-01"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20200213-01","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5]]}}}