{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T12:10:31Z","timestamp":1793362231332,"version":"4.5.0"},"reference-count":61,"publisher":"National Athletic Trainers' Association","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,6,1]]},"abstract":"<jats:p>Ankle sprains are common injuries involving the lateral ankle ligaments and affect athletes of all levels. Most patients heal uneventfully, but those with symptoms persisting past 3 months should be evaluated for chronic ankle instability and its associated conditions as well as for the presence of varus malalignment. Chronic ankle instability is initially treated nonoperatively, with surgical management reserved for those who have failed to improve after 3 to 6 months of bracing and functional rehabilitation. Anatomic repair using a modification of the Brostr\u00f6m procedure is the preferred technique for initial surgery. Anatomic reconstruction with tendon graft should be considered when repair is not possible, as it maintains physiological joint kinematics. Nonanatomic reconstructions are seldom indicated. Arthroscopic repair or reconstruction of the lateral ankle ligaments is a promising new technique with results similar to those of open surgery.<\/jats:p>","DOI":"10.4085\/1062-6050-348-18","type":"journal-article","created":{"date-parts":[[2019,6,25]],"date-time":"2019-06-25T21:06:49Z","timestamp":1561496809000},"page":"639-649","source":"Crossref","is-referenced-by-count":64,"title":["Surgical Management of Lateral Ankle Instability in Athletes"],"prefix":"10.4085","volume":"54","author":[{"given":"Luis D.","family":"Camacho","sequence":"first","affiliation":[{"name":"College of Medicine, University of Arizona, Tucson"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary T.","family":"Roward","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Arizona, Tucson"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Deng","sequence":"first","affiliation":[{"name":"Department of Foot and Ankle Surgery, Wuhan University, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. Daniel","family":"Latt","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Arizona, Tucson"},{"name":"San Antonio Military Medical Center, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"issue":"7","key":"2020060414062218800_i1062-6050-54-6-639-b01","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1197\/j.aem.2007.03.1354","article-title":"Epidemiology of lower extremity injuries among US high school athletes","volume":"14","author":"Fernandez","year":"2007","journal-title":"Acad Emerg Med"},{"issue":"2","key":"2020060414062218800_i1062-6050-54-6-639-b02","first-page":"311","article-title":"Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives","volume":"42","author":"Hootman","year":"2007","journal-title":"J Athl Train"},{"issue":"1","key":"2020060414062218800_i1062-6050-54-6-639-b03","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1177\/0363546516660980","article-title":"The epidemiology of lateral ligament complex ankle sprains in National Collegiate Athletic Association sports","volume":"45","author":"Roos","year":"2017","journal-title":"Am J Sports Med"},{"issue":"2","key":"2020060414062218800_i1062-6050-54-6-639-b04","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1136\/bjsm.35.2.103","article-title":"Ankle injuries in basketball: injury rate and risk factors","volume":"35","author":"McKay","year":"2001","journal-title":"Br J Sports Med"},{"issue":"5","key":"2020060414062218800_i1062-6050-54-6-639-b05","first-page":"551","article-title":"Sprained ankles, VI: surgical treatment of \u201cchronic\u201d ligament ruptures","volume":"132","author":"Brostr\u00f6m","year":"1966","journal-title":"Acta Chir Scand"},{"issue":"2","key":"2020060414062218800_i1062-6050-54-6-639-b06","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1177\/107110079401500204","article-title":"Epidemiology of sprains in the lateral ankle and foot","volume":"15","author":"H\u00f8lmer","year":"1994","journal-title":"Foot Ankle Int"},{"issue":"5","key":"2020060414062218800_i1062-6050-54-6-639-b07","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1177\/107110078800800502","article-title":"The mechanical characteristics of the collateral ligaments of the human ankle joint","volume":"8","author":"Siegler","year":"1988","journal-title":"Foot Ankle"},{"issue":"2","key":"2020060414062218800_i1062-6050-54-6-639-b08","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1177\/107110078500600202","article-title":"Biomechanical characteristics of human ankle ligaments","volume":"6","author":"Attarian","year":"1985","journal-title":"Foot Ankle"},{"issue":"3","key":"2020060414062218800_i1062-6050-54-6-639-b09","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1177\/107110079201300304","article-title":"The stabilizing role of the lateral ligament complex around the ankle and subtalar joints","volume":"13","author":"Stephens","year":"1992","journal-title":"Foot Ankle"},{"issue":"3","key":"2020060414062218800_i1062-6050-54-6-639-b10","doi-asserted-by":"crossref","first-page":"e14","DOI":"10.1136\/bjsm.2004.011676","article-title":"Long term outcomes of inversion ankle injuries","volume":"39","author":"Anandacoomarasamy","year":"2005","journal-title":"Br J Sports Med"},{"issue":"4","key":"2020060414062218800_i1062-6050-54-6-639-b11","first-page":"364","article-title":"Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability","volume":"37","author":"Hertel","year":"2002","journal-title":"J Athl Train"},{"issue":"3","key":"2020060414062218800_i1062-6050-54-6-639-b12","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1177\/107110079101200310","article-title":"Chronic lateral ankle instability","volume":"12","author":"Peters","year":"1991","journal-title":"Foot Ankle"},{"issue":"6","key":"2020060414062218800_i1062-6050-54-6-639-b13","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1177\/036354658601400606","article-title":"Treatment of ankle sprains in young athletes","volume":"14","author":"Smith","year":"1986","journal-title":"Am J Sports Med"},{"issue":"3","key":"2020060414062218800_i1062-6050-54-6-639-b14","doi-asserted-by":"crossref","first-page":"354","DOI":"10.2106\/00004623-197961030-00006","article-title":"Degenerative arthritis of the ankle secondary to long-standing lateral ligament instability","volume":"61","author":"Harrington","year":"1979","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"2020060414062218800_i1062-6050-54-6-639-b15","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1177\/03635465020300031601","article-title":"Arthroscopic findings in patients with chronic ankle instability","volume":"30","author":"Hintermann","year":"2002","journal-title":"Am J Sports Med"},{"issue":"5","key":"2020060414062218800_i1062-6050-54-6-639-b16","doi-asserted-by":"crossref","first-page":"302","DOI":"10.5435\/00124635-200509000-00004","article-title":"Adult cavovarus foot","volume":"13","author":"Younger","year":"2005","journal-title":"J Am Acad Orthop Surg"},{"issue":"4","key":"2020060414062218800_i1062-6050-54-6-639-b17","first-page":"406","article-title":"Assessment of the injured ankle in the athlete","volume":"37","author":"Lynch","year":"2002","journal-title":"J Athl Train"},{"issue":"1","key":"2020060414062218800_i1062-6050-54-6-639-b18","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1148\/rg.351130062","article-title":"and MR imaging of peroneal tendon injuries","volume":"35","author":"Taljanovic","year":"2015","journal-title":"Radiographics"},{"issue":"1","key":"2020060414062218800_i1062-6050-54-6-639-b19","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1177\/036354659302100120","article-title":"Articular cartilage lesions in ankles with lateral ligament injury: an arthroscopic study","volume":"21","author":"Taga","year":"1993","journal-title":"Am J Sports Med"},{"issue":"1","key":"2020060414062218800_i1062-6050-54-6-639-b20","first-page":"68","article-title":"The anatomy and mechanisms of syndesmotic ankle sprains","volume":"36","author":"Norkus","year":"2001","journal-title":"J Athl Train"},{"issue":"1","key":"2020060414062218800_i1062-6050-54-6-639-b21","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1177\/0095399703258789","article-title":"Medial ankle instability: an exploratory, prospective study of fifty-two cases","volume":"32","author":"Hintermann","year":"2004","journal-title":"Am J Sports Med"},{"issue":"10","key":"2020060414062218800_i1062-6050-54-6-639-b22","doi-asserted-by":"crossref","first-page":"616","DOI":"10.5435\/00124635-201010000-00005","article-title":"Osteochondral lesions of the talus","volume":"18","author":"Easley","year":"2010","journal-title":"J Am Acad Orthop Surg"},{"issue":"5","key":"2020060414062218800_i1062-6050-54-6-639-b23","doi-asserted-by":"crossref","first-page":"306","DOI":"10.5435\/00124635-200905000-00005","article-title":"Peroneal tendon injuries","volume":"17","author":"Philbin","year":"2009","journal-title":"J Am Acad Orthop Surg"},{"issue":"2","key":"2020060414062218800_i1062-6050-54-6-639-b24","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1136\/bjsm.31.2.102","article-title":"Role of ankle taping and bracing in the athlete","volume":"31","author":"Callaghan","year":"1997","journal-title":"Br J Sports Med"},{"issue":"3","key":"2020060414062218800_i1062-6050-54-6-639-b25","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1053\/j.otsm.2005.10.007","article-title":"Chronic lateral ankle instability: the Brostr\u00f6m procedure","volume":"13","author":"Bell","year":"2005","journal-title":"Op Tech Sports Med"},{"issue":"1","key":"2020060414062218800_i1062-6050-54-6-639-b26","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/107110079301400101","article-title":"The modified Brostrom procedure for lateral ankle instability","volume":"14","author":"Hamilton","year":"1993","journal-title":"Foot Ankle"},{"issue":"10","key":"2020060414062218800_i1062-6050-54-6-639-b27","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1177\/107110070102201004","article-title":"Validation of the foot and ankle outcome score for ankle ligament reconstruction","volume":"22","author":"Roos","year":"2001","journal-title":"Foot Ankle Int"},{"issue":"1","key":"2020060414062218800_i1062-6050-54-6-639-b28","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/0020-1383(75)90065-0","article-title":"Reconstruction of the lateral ligament of the ankle","volume":"7","author":"Good","year":"1975","journal-title":"Injury"},{"issue":"6","key":"2020060414062218800_i1062-6050-54-6-639-b29","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1177\/0363546505282616","article-title":"Twenty-six-year results after Brostr\u00f6m procedure for chronic lateral ankle instability","volume":"34","author":"Bell","year":"2006","journal-title":"Am J Sports Med"},{"issue":"1","key":"2020060414062218800_i1062-6050-54-6-639-b30","first-page":"1019","article-title":"Re-operation rates following Brostrom repair","volume":"2","author":"Baraza","year":"2017","journal-title":"JSM Foot Ankle"},{"issue":"4","key":"2020060414062218800_i1062-6050-54-6-639-b31","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1177\/0363546512474967","article-title":"Isolated anterior talofibular ligament Brostr\u00f6m repair for chronic lateral ankle instability: 9-year follow-up","volume":"41","author":"Maffulli","year":"2013","journal-title":"Am J Sports Med"},{"issue":"2","key":"2020060414062218800_i1062-6050-54-6-639-b32","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1177\/107110078000100206","article-title":"Early and late repair of lateral ligament of the ankle","volume":"1","author":"Gould","year":"1980","journal-title":"Foot Ankle"},{"key":"2020060414062218800_i1062-6050-54-6-639-b33","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1097\/01.blo.0000183737.43245.26","article-title":"Extensor retinaculum augmentation reinforces anterior talofibular ligament repair","volume":"442","author":"Aydogan","year":"2006","journal-title":"Clin Orthop Rel Res"},{"issue":"2","key":"2020060414062218800_i1062-6050-54-6-639-b34","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1177\/036354658901700220","article-title":"Surgical treatment of chronic lateral instability of the ankle joint: a new procedure","volume":"17","author":"Karlsson","year":"1989","journal-title":"Am J Sports Med"},{"key":"2020060414062218800_i1062-6050-54-6-639-b35","unstructured":"Watson-Jones\n              R.\n            \n          \n          Fractures and Joint Injuries. Vol 2. 4th ed. Edinburgh, Scotland: E & S Livingstone Ltd;1955."},{"issue":"5","key":"2020060414062218800_i1062-6050-54-6-639-b36","first-page":"343","article-title":"Recurrent instability of the ankle: a method of surgical treatment","volume":"46","author":"Evans","year":"1953","journal-title":"Proc R Soc Med"},{"issue":"5","key":"2020060414062218800_i1062-6050-54-6-639-b37","doi-asserted-by":"crossref","first-page":"904","DOI":"10.2106\/00004623-196951050-00007","article-title":"Reconstruction of lateral ligament tears of the ankle: an experimental study and clinical evaluation of seven patients treated by a new modification of the Elmslie procedure","volume":"51","author":"Chrisman","year":"1969","journal-title":"J Bone Joint Surg Am"},{"issue":"4","key":"2020060414062218800_i1062-6050-54-6-639-b38","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1111\/j.1600-0838.1999.tb00240.x","article-title":"Long-term functional outcome after surgery of chronic ankle instability. A 5-year follow-up study of the modified Evans procedure","volume":"9","author":"Kaikkonen","year":"1999","journal-title":"Scand J Med Sci Sports"},{"issue":"3","key":"2020060414062218800_i1062-6050-54-6-639-b39","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1302\/0301-620X.70B3.3372575","article-title":"Lateral instability of the ankle treated by the Evans procedure: a long-term clinical and radiological follow-up","volume":"70","author":"Karlsson","year":"1988","journal-title":"J Bone Joint Surg Br"},{"issue":"4","key":"2020060414062218800_i1062-6050-54-6-639-b40","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1177\/036354659602400402","article-title":"Outcomes of the Chrisman-Snook and modified-Brostr\u00f6m procedures for chronic lateral ankle instability: a prospective, randomized comparison","volume":"24","author":"Hennrikus","year":"1996","journal-title":"Am J Sports Med"},{"key":"2020060414062218800_i1062-6050-54-6-639-b41","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1097\/00003086-200212000-00025","article-title":"Twenty-year results of the Evans operation for lateral instability of the ankle","volume":"405","author":"Korkala","year":"2002","journal-title":"Clin Orthop Rel Res"},{"issue":"3","key":"2020060414062218800_i1062-6050-54-6-639-b42","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1007\/s001670050210","article-title":"Anatomical reconstruction versus tenodesis for the treatment of chronic anterolateral instability of the ankle joint: a 2- to 10-year follow-up, multicenter study","volume":"8","author":"Krips","year":"2000","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"5","key":"2020060414062218800_i1062-6050-54-6-639-b43","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1177\/107110070102200510","article-title":"Long-term outcome of anatomical reconstruction versus tenodesis for the treatment of chronic anterolateral instability of the ankle joint: a multicenter study","volume":"22","author":"Krips","year":"2001","journal-title":"Foot Ankle Int"},{"issue":"2","key":"2020060414062218800_i1062-6050-54-6-639-b44","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1177\/0363546513509963","article-title":"Anterior talofibular ligament ruptures, part 2: biomechanical comparison of anterior talofibular ligament reconstruction using semitendinosus allografts with the intact ligament","volume":"42","author":"Clanton","year":"2014","journal-title":"Am J Sports Med"},{"issue":"4","key":"2020060414062218800_i1062-6050-54-6-639-b45","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1177\/107110070402500407","article-title":"Comprehensive reconstruction of the lateral ankle for chronic instability using a free gracilis graft","volume":"25","author":"Coughlin","year":"2004","journal-title":"Foot Ankle Int"},{"issue":"5","key":"2020060414062218800_i1062-6050-54-6-639-b46","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1302\/0301-620X.73B5.1894670","article-title":"Reconstruction of lateral ligaments of the ankle with allogeneic tendon grafts","volume":"73","author":"Horibe","year":"1991","journal-title":"J Bone Joint Surg Br"},{"issue":"11","key":"2020060414062218800_i1062-6050-54-6-639-b47","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1177\/107110079902001107","article-title":"Reconstruction for chronic lateral ankle instability using the palmaris longus tendon: is reconstruction of the calcaneofibular ligament necessary?","volume":"20","author":"Okuda","year":"1999","journal-title":"Foot Ankle Int"},{"issue":"9","key":"2020060414062218800_i1062-6050-54-6-639-b48","first-page":"778","article-title":"Anatomic reconstruction of the lateral ligaments of the ankle using a plantaris tendon graft","volume":"28","author":"Hintermann","year":"1999","journal-title":"Orthop\u00e4de"},{"issue":"3","key":"2020060414062218800_i1062-6050-54-6-639-b49","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1177\/03635465020300030701","article-title":"Reconstruction of the lateral ankle ligaments with bone-patellar tendon graft in patients with chronic ankle instability: a preliminary report","volume":"30","author":"Sugimoto","year":"2002","journal-title":"Am J Sports Med"},{"issue":"2","key":"2020060414062218800_i1062-6050-54-6-639-b50","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.fcl.2009.01.002","article-title":"Lateral ankle instability and revision surgery alternatives in the athlete","volume":"14","author":"Schenck","year":"2009","journal-title":"Foot Ankle Clin"},{"issue":"5","key":"2020060414062218800_i1062-6050-54-6-639-b51","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1007\/s00264-002-0373-1","article-title":"A novel reconstruction technique for chronic lateral ankle instability: comparison to primary repair","volume":"26","author":"J\u00e4rvel\u00e4","year":"2002","journal-title":"Int Orthop"},{"issue":"3","key":"2020060414062218800_i1062-6050-54-6-639-b52","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1016\/j.fcl.2006.05.003","article-title":"Reconstruction of the lateral ankle ligaments with allograft in patients with chronic ankle instability","volume":"11","author":"Caprio","year":"2006","journal-title":"Foot Ankle Clin"},{"issue":"8","key":"2020060414062218800_i1062-6050-54-6-639-b53","doi-asserted-by":"crossref","first-page":"1941","DOI":"10.1177\/0363546515593942","article-title":"Anatomic reconstruction with a semitendinosus allograft for chronic lateral ankle instability","volume":"43","author":"Dierckman","year":"2015","journal-title":"Am J Sports Med"},{"issue":"1","key":"2020060414062218800_i1062-6050-54-6-639-b54","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1186\/s12891-017-1492-6","article-title":"Allograft tendon reconstruction of the anterior talofibular ligament and calcaneofibular ligament in the treatment of chronic ankle instability","volume":"18","author":"Wang","year":"2017","journal-title":"BMC Musculoskelet Disord"},{"issue":"2","key":"2020060414062218800_i1062-6050-54-6-639-b55","doi-asserted-by":"publisher","DOI":"10.1177\/2473011418763593","article-title":"Fracture through a distal fibular tunnel used for an anatomic lateral ankle ligament reconstruction","volume":"3","author":"Roward","year":"2018","journal-title":"Foot Ankle Orthop"},{"issue":"4","key":"2020060414062218800_i1062-6050-54-6-639-b56","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1177\/1071100715576107","article-title":"Arthroscopic Brostrom technique","volume":"36","author":"Acevedo","year":"2015","journal-title":"Foot Ankle Int"},{"issue":"11","key":"2020060414062218800_i1062-6050-54-6-639-b57","doi-asserted-by":"crossref","first-page":"2381","DOI":"10.1177\/0363546511416069","article-title":"Arthroscopic-assisted Brostr\u00f6m-Gould for chronic ankle instability: a long-term follow-up","volume":"39","author":"Nery","year":"2011","journal-title":"Am J Sports Med"},{"issue":"12","key":"2020060414062218800_i1062-6050-54-6-639-b58","doi-asserted-by":"crossref","first-page":"1701","DOI":"10.1177\/1071100713502322","article-title":"All-inside arthroscopic lateral collateral ligament repair for ankle instability with a knotless suture anchor technique","volume":"34","author":"Vega","year":"2013","journal-title":"Foot Ankle Int"},{"issue":"3","key":"2020060414062218800_i1062-6050-54-6-639-b59","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1302\/0301-620X.61B3.113415","article-title":"Reconstruction of the anterior talofibular ligament for the treatment of the unstable ankle","volume":"61","author":"Sefton","year":"1979","journal-title":"J Bone Joint Surg Br"},{"issue":"3","key":"2020060414062218800_i1062-6050-54-6-639-b60","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1177\/0363546508327541","article-title":"Anatomical reconstruction for chronic lateral ankle instability in the high-demand athlete: functional outcomes after the modified Brostr\u00f6m repair using suture anchors","volume":"37","author":"Li","year":"2009","journal-title":"Am J Sports Med"},{"issue":"3","key":"2020060414062218800_i1062-6050-54-6-639-b61","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/j.jsams.2009.05.002","article-title":"A systematic review on the effectiveness of external ankle supports in the prevention of inversion ankle sprains among elite and recreational players","volume":"13","author":"Dizon","year":"2010","journal-title":"J Sci Med Sport"}],"container-title":["Journal of Athletic Training"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/54\/6\/639\/2369714\/1062-6050-348-18.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/54\/6\/639\/2369714\/1062-6050-348-18.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T18:52:02Z","timestamp":1749667922000},"score":1,"resource":{"primary":{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/54\/6\/article-p639.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,1]]},"references-count":61,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,6,1]]}},"URL":"https:\/\/doi.org\/10.4085\/1062-6050-348-18","relation":{},"ISSN":["1062-6050"],"issn-type":[{"value":"1062-6050","type":"print"}],"subject":[],"published":{"date-parts":[[2019,6,1]]}}}