{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T13:17:21Z","timestamp":1783430241676,"version":"3.54.6"},"reference-count":16,"publisher":"MDPI AG","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAPMA"],"published-print":{"date-parts":[[2006,3]]},"abstract":"<jats:p>In this prospective study, 30 patients (28 men and 2 women) with open ankle fractures were treated with early debridement and immediate stable internal fixation after anatomical reduction to achieve better functional results after early mobilization. The procedure was performed an average of 8 hours (range, 6\u201315 hours) after injury. According to the classification system of Gustilo and Anderson, 11 fractures (37%) were grade I, 12 (40%) were grade II, 5 (17%) were grade IIIA, and 2 (7%) were grade IIIB. Six complications occurred: four patients had superficial skin necrosis and two had loss of reduction, resulting in residual ankle stiffness. Twenty patients had excellent results, eight had good results, and two had fair results according to the modified criteria of Ketenjian and Shelton. We found that immediate debridement, anatomical reduction, and internal fixation of open ankle fractures leads to better functional results, especially in grade I and grade II injuries. (J Am Podiatr Med Assoc 96(2): 120\u2013124, 2006)<\/jats:p>","DOI":"10.7547\/0960120","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T10:24:42Z","timestamp":1396347882000},"page":"120-124","source":"Crossref","is-referenced-by-count":11,"title":["Immediate Open Reduction and Internal Fixation in Open Ankle Fractures"],"prefix":"10.3390","volume":"96","author":[{"given":"Deepak","family":"Joshi","sequence":"first","affiliation":[{"name":"Central Institute of Orthopedics, Safdarjang Hospital, New Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davindar","family":"Singh","sequence":"additional","affiliation":[{"name":"Central Institute of Orthopedics, Safdarjang Hospital, New Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juned","family":"Ansari","sequence":"additional","affiliation":[{"name":"Central Institute of Orthopedics, Safdarjang Hospital, New Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yadu","family":"Lal","sequence":"additional","affiliation":[{"name":"Central Institute of Orthopedics, Safdarjang Hospital, New Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"R1","series-title":"Clin Orthop Relat Res","first-page":"132","volume":"138","year":"1979","unstructured":"Rittmann WW, Schibli M, Matter P, et al: Open fractures: long-term results in 200 consecutive cases. .Clin Orthop Relat Res138::132. ,1979. ."},{"key":"R2","series-title":"J Trauma","first-page":"742","volume":"24","year":"1984","unstructured":"Gustilo RB, Mendoza RM, Williams DN: Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. .J Trauma24::742. ,1984. .6471139"},{"key":"R3","series-title":"J Bone Joint Surg Am","first-page":"453","volume":"58","year":"1976","unstructured":"Gustilo RB, Anderson JT: Prevention of 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