{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:42Z","timestamp":1783509282679,"version":"3.55.0"},"reference-count":38,"publisher":"MDPI AG","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We sought first to determine the efficacy of lateral ankle fixation alone in maintenance of medial clear space and talar valgus in bimalleolar equivalent ankle fractures not receiving primary deltoid repair, and second to assess perceived outcomes via the Foot and Ankle Outcome Score. To our knowledge, no study has quantified the reduction of medial clear space and talar valgus in bimalleolar equivalent ankle fractures receiving lateral ankle fixation alone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We compared preoperative, initial postoperative, and greater than 1-year follow-up radiographs of medial clear space and talar valgus in individuals who received lateral ankle fixation alone in bimalleolar equivalent ankle fractures. Subjective outcomes were measured via the Foot and Ankle Outcome Score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty-seven patients participated in the study and showed a statistically significant reduction of medial clear space and restoration of talar position, and maintenance with this fixation method during follow-up in patients with bimalleolar equivalent ankle fractures. Adjunctively, patients perceived their outcomes to be satisfactory, as demonstrated by the results of the Foot and Ankle Outcome Score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st4\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We aimed to assess the efficacy of lateral ankle fixation in the maintenance of medial clear space and talar valgus reduction at midterm follow-up. Although some authors contend that primary deltoid repair in bimalleolar equivalent ankle fractures is warranted, these midterm study results suggest that isolated lateral ankle fixation is adequate for medial ankle stabilization in bimalleolar equivalent fractures, and thus primary deltoid repair is not indicated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.7547\/19-047","type":"journal-article","created":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T16:01:38Z","timestamp":1630684898000},"source":"Crossref","is-referenced-by-count":1,"title":["Follow-up Evaluation of Medial Clear Space and Talar Tilt After Bimalleolar Equivalent Fracture Fixation Without Primary Deltoid Repair"],"prefix":"10.3390","volume":"111","author":[{"given":"Dalton","family":"Ryba","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Ernst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somer","family":"Blair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis A.","family":"Motley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"i8750-7315-111-4-Article_7-b01","series-title":"Injury","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","article-title":"Epidemiology of adult fractures: a review","volume":"37","author":"Court-Brown","year":"2006","unstructured":"Court-Brown\n              CM\n            \n            \n              Caesar\n              B:\n            \n          \n          Epidemiology of adult fractures: a review.\n\t\t\t\t\tInjury37: \n\t\t\t\t\t691,\n\t\t\t\t\t2006.\n\t\t\t\t1681478710.1016\/j.injury.2006.04.130"},{"key":"i8750-7315-111-4-Article_7-b02","series-title":"J Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1053\/j.jfas.2014.03.011","article-title":"Epidemiology of foot and ankle fractures in the United States: an analysis of the National Trauma Data Bank (2007 to 2011)","volume":"53","author":"Shibuya","year":"2014","unstructured":"Shibuya\n              N\n            \n            \n              Davis\n              ML\n            \n            \n              Jupiter\n              DC:\n            \n          \n          Epidemiology of foot and ankle fractures in the United States: an analysis of the National Trauma Data Bank (2007 to 2011).\n\t\t\t\t\tJ Foot Ankle Surg53: \n\t\t\t\t\t606,\n\t\t\t\t\t2014.\n\t\t\t\t10.1053\/j.jfas.2014.03.01124785202"},{"key":"i8750-7315-111-4-Article_7-b03","series-title":"Foot Ankle Int","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1177\/107110070002100407","article-title":"Closed ankle fractures in the diabetic patient","volume":"21","author":"Flynn","year":"2000","unstructured":"Flynn\n              JM\n            \n            \n              Rodriguez-del Rio\n              F\n            \n            \n              Piz\u00e1\n              PA:\n            \n          \n          Closed ankle fractures in the diabetic patient.\n\t\t\t\t\tFoot Ankle Int21: \n\t\t\t\t\t311,\n\t\t\t\t\t2000.\n\t\t\t\t1080897110.1177\/107110070002100407"},{"key":"i8750-7315-111-4-Article_7-b04","series-title":"Foot Ankle","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1177\/107110079101100407","article-title":"Tibio-talar stability in bimalleolar ankle fractures: a dynamic in vitro contact area study","volume":"11","author":"Clarke","year":"1991","unstructured":"Clarke\n              HJ\n            \n            \n              Michelson\n              JD\n            \n            \n              Cox\n              QG\n            \n            :\n\t\t\t\t\t\n          Tibio-talar stability in bimalleolar ankle fractures: a dynamic in vitro contact area study.\n\t\t\t\t\tFoot Ankle11: \n\t\t\t\t\t222,\n\t\t\t\t\t1991.\n\t\t\t\t185570810.1177\/107110079101100407"},{"key":"i8750-7315-111-4-Article_7-b05","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"356","DOI":"10.2106\/00004623-197658030-00010","article-title":"Changes in tibiotalar area of contact caused by lateral talar shift","volume":"58","author":"Ramsey","year":"1976","unstructured":"Ramsey\n              PL\n            \n            \n              Hamilton\n              W:\n            \n          \n          Changes in tibiotalar area of contact caused by lateral talar shift.\n\t\t\t\t\tJ Bone Joint Surg Am58: \n\t\t\t\t\t356,\n\t\t\t\t\t1976.\n\t\t\t\t10.2106\/00004623-197658030-000101262367"},{"key":"i8750-7315-111-4-Article_7-b06","series-title":"J Orthop Res","doi-asserted-by":"publisher","first-page":"1039","DOI":"10.1002\/jor.20642","article-title":"Patient-specific finite element analysis of chronic contact stress exposure after intraarticular fracture of the tibial plafond","volume":"26","author":"Li","year":"2008","unstructured":"Li\n              W\n            \n            \n              Anderson\n              DD\n            \n            \n              Goldsworthy\n              JK\n            \n            :\n\t\t\t\t\t\n          Patient-specific finite element analysis of chronic contact stress exposure after intraarticular fracture of the tibial plafond.\n\t\t\t\t\tJ Orthop Res26: \n\t\t\t\t\t1039,\n\t\t\t\t\t2008.\n\t\t\t\t10.1002\/jor.2064218404662"},{"key":"i8750-7315-111-4-Article_7-b07","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"1809","DOI":"10.2106\/00004623-199712000-00006","article-title":"The effect of fibular malreduction on contact pressures in an ankle fracture malunion model","volume":"79","author":"Thordarson","year":"1997","unstructured":"Thordarson\n              DB\n            \n            \n              Motamed\n              S\n            \n            \n              Hedman\n              T\n            \n            :\n\t\t\t\t\t\n          The effect of fibular malreduction on contact pressures in an ankle fracture malunion model.\n\t\t\t\t\tJ Bone Joint Surg Am79: \n\t\t\t\t\t1809,\n\t\t\t\t\t1997.\n\t\t\t\t10.2106\/00004623-199712000-00006"},{"key":"i8750-7315-111-4-Article_7-b08","series-title":"Clin Orthop Relat Res","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1007\/s11999-009-0988-2","article-title":"Supination-external rotation ankle fractures: stability a key issue","volume":"468","author":"Gougoulias","year":"2010","unstructured":"Gougoulias\n              N\n            \n            \n              Khanna\n              A\n            \n            \n              Sakellariou\n              A\n            \n            :\n\t\t\t\t\t\n          Supination-external rotation ankle fractures: stability a key issue.\n\t\t\t\t\tClin Orthop Relat Res468: \n\t\t\t\t\t243,\n\t\t\t\t\t2010.\n\t\t\t\t1961824710.1007\/s11999-009-0988-2"},{"key":"i8750-7315-111-4-Article_7-b09","series-title":"Orthop Rev (Pavia)","first-page":"e5","article-title":"Diagnosis and treatment of acute ankle injuries: development of an evidence-based algorithm","volume":"4","author":"Polzer","year":"2012","unstructured":"Polzer\n              H\n            \n            \n              Kanz\n              KG\n            \n            \n              Prall\n              WC\n            \n            :\n\t\t\t\t\t\n          Diagnosis and treatment of acute ankle injuries: development of an evidence-based algorithm.\n\t\t\t\t\tOrthop Rev (Pavia)4: \n\t\t\t\t\te5,\n\t\t\t\t\t2012."},{"key":"i8750-7315-111-4-Article_7-b10","series-title":"J Bone Joint Surg Br","first-page":"920","article-title":"The repair of a ruptured deltoid ligament is not necessary in ankle fractures","volume":"77","author":"Stromsoe","year":"1995","unstructured":"Stromsoe\n              K\n            \n            \n              Hoqevold\n              HE\n            \n            \n              Skjeldal\n              S\n            \n            :\n\t\t\t\t\t\n          The repair of a ruptured deltoid ligament is not necessary in ankle fractures.\n\t\t\t\t\tJ Bone Joint Surg Br77: \n\t\t\t\t\t920,\n\t\t\t\t\t1995."},{"key":"i8750-7315-111-4-Article_7-b11","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"2171","DOI":"10.2106\/00004623-200410000-00007","article-title":"Stress examination of supination external rotation-type fibular fractures","volume":"86","author":"McConnell","year":"2004","unstructured":"McConnell\n              T\n            \n            \n              Creevy\n              W\n            \n            \n              Tornetta\n              P\n              III:\n            \n          \n          Stress examination of supination external rotation-type fibular fractures.\n\t\t\t\t\tJ Bone Joint Surg Am86: \n\t\t\t\t\t2171,\n\t\t\t\t\t2004.\n\t\t\t\t1546672510.2106\/00004623-200410000-00007"},{"key":"i8750-7315-111-4-Article_7-b12","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"1346","DOI":"10.2106\/00004623-198769090-00007","article-title":"Fractures of the distal part of the fibula with associated disruption of the deltoid ligament: treatment without repair of the deltoid ligament","volume":"69","author":"Baird","year":"1987","unstructured":"Baird\n              RA\n            \n            \n              Jackson\n              ST:\n            \n          \n          Fractures of the distal part of the fibula with associated disruption of the deltoid ligament: treatment without repair of the deltoid ligament.\n\t\t\t\t\tJ Bone Joint Surg Am69: \n\t\t\t\t\t1346,\n\t\t\t\t\t1987.\n\t\t\t\t10.2106\/00004623-198769090-000073440794"},{"key":"i8750-7315-111-4-Article_7-b13","series-title":"Acta Orthop Scand","doi-asserted-by":"publisher","first-page":"217","DOI":"10.3109\/17453677908989759","article-title":"Anatomical basis of variability in injuries of the medial malleolus and the deltoid ligament: I. Anatomical studies","volume":"50","author":"Pankovich","year":"1979","unstructured":"Pankovich\n              AM\n            \n            \n              Shivaram\n              MS:\n            \n          \n          Anatomical basis of variability in injuries of the medial malleolus and the deltoid ligament: I. Anatomical studies.\n\t\t\t\t\tActa Orthop Scand50: \n\t\t\t\t\t217,\n\t\t\t\t\t1979.\n\t\t\t\t10.3109\/17453677908989759107719"},{"key":"i8750-7315-111-4-Article_7-b14","series-title":"Acta Orthop Scand","doi-asserted-by":"publisher","first-page":"225","DOI":"10.3109\/17453677908989760","article-title":"Anatomical basis of variability in injuries of the medial malleolus and the deltoid ligament: II. Clinical studies","volume":"50","author":"Pankovich","year":"1979","unstructured":"Pankovich\n              AM\n            \n            \n              Shivaram\n              MS:\n            \n          \n          Anatomical basis of variability in injuries of the medial malleolus and the deltoid ligament: II. Clinical studies.\n\t\t\t\t\tActa Orthop Scand50: \n\t\t\t\t\t225,\n\t\t\t\t\t1979.\n\t\t\t\t10772010.3109\/17453677908989760"},{"key":"i8750-7315-111-4-Article_7-b15","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"142","DOI":"10.2106\/00004623-199501000-00020","article-title":"Fractures about the ankle","volume":"77","author":"Michelson","year":"1995","unstructured":"Michelson\n              JD:\n            \n          \n          Fractures about the ankle.\n\t\t\t\t\tJ Bone Joint Surg Am77: \n\t\t\t\t\t142,\n\t\t\t\t\t1995.\n\t\t\t\t782234910.2106\/00004623-199501000-00020"},{"key":"i8750-7315-111-4-Article_7-b16","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"843","DOI":"10.2106\/00004623-200006000-00011","article-title":"Competence of the deltoid ligament in bimalleolar ankle fractures after medial malleolar fixation","volume":"82","author":"Tornetta","year":"2000","unstructured":"Tornetta\n              P III:\n            \n          \n          Competence of the deltoid ligament in bimalleolar ankle fractures after medial malleolar fixation.\n\t\t\t\t\tJ Bone Joint Surg Am82: \n\t\t\t\t\t843,\n\t\t\t\t\t2000.\n\t\t\t\t1085910410.2106\/00004623-200006000-00011"},{"key":"i8750-7315-111-4-Article_7-b17","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"2171","DOI":"10.2106\/00004623-200410000-00007","article-title":"Stress examination of supination external rotation-type fibular fractures","volume":"86","author":"McConnell","year":"2004","unstructured":"McConnell\n              T\n            \n            \n              Creevy\n              W\n            \n            \n              Tornetta\n              P III:\n            \n          \n          Stress examination of supination external rotation-type fibular fractures.\n\t\t\t\t\tJ Bone Joint Surg Am86: \n\t\t\t\t\t2171,\n\t\t\t\t\t2004.\n\t\t\t\t1546672510.2106\/00004623-200410000-00007"},{"key":"i8750-7315-111-4-Article_7-b18","series-title":"J Foot Ankle Surg","first-page":"20","article-title":"Deltoid ligament integrity in lateral malleolar fractures: a comparative analysis of arthroscopic and radiographic assessments","volume":"431","author":"Schuberth","year":"2004","unstructured":"Schuberth\n              JM\n            \n            \n              Collman\n              DR\n            \n            \n              Rush\n              SM\n            \n            :\n\t\t\t\t\t\n          Deltoid ligament integrity in lateral malleolar fractures: a comparative analysis of arthroscopic and radiographic assessments.\n\t\t\t\t\tJ Foot Ankle Surg431: \n\t\t\t\t\t20,\n\t\t\t\t\t2004."},{"key":"i8750-7315-111-4-Article_7-b19","series-title":"Acta Orthop Scand Suppl","first-page":"1","article-title":"Operative treatment of ankle fractures","volume":"189","author":"Lindsj\u00f6","year":"1981","unstructured":"Lindsj\u00f6\n              U:\n            \n          \n          Operative treatment of ankle fractures.\n\t\t\t\t\tActa Orthop Scand Suppl189: \n\t\t\t\t\t1,\n\t\t\t\t\t1981.\n\t\t\t\t6787831"},{"key":"i8750-7315-111-4-Article_7-b20","series-title":"Acta Orthop Scand","doi-asserted-by":"publisher","first-page":"223","DOI":"10.3109\/17453676808989456","article-title":"Operative treatment of ankle fractures","volume":"39","author":"Solonen","year":"1968","unstructured":"Solonen\n              KA\n            \n            \n              Lauttamus\n              L:\n            \n          \n          Operative treatment of ankle fractures.\n\t\t\t\t\tActa Orthop Scand39: \n\t\t\t\t\t223,\n\t\t\t\t\t1968.\n\t\t\t\t497364010.3109\/17453676808989456"},{"key":"i8750-7315-111-4-Article_7-b21","series-title":"Dtsch Arztebl Int","first-page":"377","article-title":"Fractures of the ankle joint: investigation and treatment options","volume":"111","author":"Goost","year":"2014","unstructured":"Goost\n              H\n            \n            \n              Wimmer\n              MD\n            \n            \n              Barg\n              A\n            \n            :\n\t\t\t\t\t\n          Fractures of the ankle joint: investigation and treatment options.\n\t\t\t\t\tDtsch Arztebl Int111: \n\t\t\t\t\t377,\n\t\t\t\t\t2014.\n\t\t\t\t24939377"},{"key":"i8750-7315-111-4-Article_7-b22","series-title":"Orthopade","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1007\/PL00003634","article-title":"Stable ankle joint fractures: indication for surgical or conservative management [in German]?","volume":"28","author":"Richter","year":"1999","unstructured":"Richter\n              J\n            \n            \n              Schulze\n              W\n            \n            \n              Muhr\n              G:\n            \n          \n          Stable ankle joint fractures: indication for surgical or conservative management [in German]?\n          Orthopade\n          28: \n\t\t\t\t\t493,\n\t\t\t\t\t1999.\n\t\t\t\t10.1007\/PL00003634"},{"key":"i8750-7315-111-4-Article_7-b23","series-title":"Strategies Trauma Limb Reconstr","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1007\/s11751-012-0140-9","article-title":"The diagnosis and treatment of deltoid ligament lesions in supination-external rotation ankle fractures: a review","volume":"7","author":"Stufkens","year":"2012","unstructured":"Stufkens\n              SA\n            \n            \n              Van den bekerom\n              MP\n            \n            \n              Knupp\n              M\n            \n            :\n\t\t\t\t\t\n          The diagnosis and treatment of deltoid ligament lesions in supination-external rotation ankle fractures: a review.\n\t\t\t\t\tStrategies Trauma Limb Reconstr7: \n\t\t\t\t\t73,\n\t\t\t\t\t2012.\n\t\t\t\t10.1007\/s11751-012-0140-922767333"},{"key":"i8750-7315-111-4-Article_7-b24","series-title":"J Bone Joint Surg Br","first-page":"1055","article-title":"The use of gravity or manual-stress radiographs in the assessment of supination-external rotation fractures of the ankle","volume":"89","author":"Schock","year":"2007","unstructured":"Schock\n              HJ\n            \n            \n              Pinzur\n              M\n            \n            \n              Manion\n              L\n            \n            :\n\t\t\t\t\t\n          The use of gravity or manual-stress radiographs in the assessment of supination-external rotation fractures of the ankle.\n\t\t\t\t\tJ Bone Joint Surg Br89: \n\t\t\t\t\t1055,\n\t\t\t\t\t2007."},{"key":"i8750-7315-111-4-Article_7-b25","series-title":"J Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1053\/j.jfas.2007.10.005","article-title":"Nonoperative treatment of bimalleolar equivalent ankle fractures: a retrospective review of 51 patients","volume":"47","author":"Clements","year":"2008","unstructured":"Clements\n              JR\n            \n            \n              Motley\n              TA\n            \n            \n              Garrett\n              A\n            \n            :\n\t\t\t\t\t\n          Nonoperative treatment of bimalleolar equivalent ankle fractures: a retrospective review of 51 patients.\n\t\t\t\t\tJ Foot Ankle Surg47: \n\t\t\t\t\t40,\n\t\t\t\t\t2008.\n\t\t\t\t10.1053\/j.jfas.2007.10.00518156063"},{"key":"i8750-7315-111-4-Article_7-b26","series-title":"Foot Ankle Online J","first-page":"1","article-title":"Evaluation of the deltoid complex in supination external rotation ankle fractures","volume":"3","author":"Motley","year":"2010","unstructured":"Motley\n              TA\n            \n            \n              Clements\n              JR\n            \n            \n              Moxley\n              K\n            \n            :\n\t\t\t\t\t\n          Evaluation of the deltoid complex in supination external rotation ankle fractures.\n\t\t\t\t\tFoot Ankle Online J3: \n\t\t\t\t\t1,\n\t\t\t\t\t2010."},{"key":"i8750-7315-111-4-Article_7-b27","series-title":"Foot Ankle Clin","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1016\/j.fcl.2006.08.001","article-title":"Deltoid ligament injuries: diagnosis and management","volume":"11","author":"Hintermann","year":"2006","unstructured":"Hintermann\n              B\n            \n            \n              Knupp\n              M\n            \n            \n              Pagenstert\n              GI:\n            \n          \n          Deltoid ligament injuries: diagnosis and management.\n\t\t\t\t\tFoot Ankle Clin11: \n\t\t\t\t\t625,\n\t\t\t\t\t2006.\n\t\t\t\t10.1016\/j.fcl.2006.08.00116971253"},{"key":"i8750-7315-111-4-Article_7-b28","series-title":"JBJS Rev","article-title":"An introduction to the linear mixed model for orthopaedic research","volume":"2","author":"Kwon","year":"2014","unstructured":"Kwon\n              S-S\n            \n            \n              Lee\n              KM\n            \n            \n              Chung\n              CY\n            \n            :\n\t\t\t\t\t\n          An introduction to the linear mixed model for orthopaedic research.\n\t\t\t\t\tJBJS Rev2: \n\t\t\t\t\t01874474\u2013201412000-00002,2014.\n\t\t\t\t27490509"},{"key":"i8750-7315-111-4-Article_7-b29","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"1066","DOI":"10.2106\/00004623-198567070-00010","article-title":"Results of operative treatment of displaced external rotation-abduction fractures of the ankle","volume":"67","author":"De Souza","year":"1985","unstructured":"De Souza\n              LJ\n            \n            \n              Gustilo\n              RB\n            \n            \n              Meyer\n              TJ:\n            \n          \n          Results of operative treatment of displaced external rotation-abduction fractures of the ankle.\n\t\t\t\t\tJ Bone Joint Surg Am67: \n\t\t\t\t\t1066,\n\t\t\t\t\t1985.\n\t\t\t\t392863210.2106\/00004623-198567070-00010"},{"key":"i8750-7315-111-4-Article_7-b30","series-title":"Injury","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1016\/0020-1383(89)90043-0","article-title":"Rupture of the deltoid ligament in ankle fractures: should it be repaired?","volume":"20","author":"Zeegers","year":"1989","unstructured":"Zeegers\n              AV\n            \n            \n              van der Werken\n              C:\n            \n          \n          Rupture of the deltoid ligament in ankle fractures: should it be repaired?\n          Injury\n          20: \n\t\t\t\t\t39,\n\t\t\t\t\t1989.\n\t\t\t\t10.1016\/0020-1383(89)90043-02592064"},{"key":"i8750-7315-111-4-Article_7-b31","series-title":"Epidemiology","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1097\/EDE.0b013e3181a819a1","article-title":"Overadjustment bias and unnecessary adjustment in epidemiologic studies","volume":"20","author":"Schisterman","year":"2009","unstructured":"Schisterman\n              EF\n            \n            \n              Cole\n              SR\n            \n            \n              Platt\n              RW:\n            \n          \n          Overadjustment bias and unnecessary adjustment in epidemiologic studies.\n\t\t\t\t\tEpidemiology20: \n\t\t\t\t\t488,\n\t\t\t\t\t2009.\n\t\t\t\t10.1097\/EDE.0b013e3181a819a119525685"},{"key":"i8750-7315-111-4-Article_7-b32","series-title":"Clin Orthop Relat Res","first-page":"156","article-title":"The deltoid ligament: an evaluation of need for surgical repair","volume":"226","author":"Harper","year":"1988","unstructured":"Harper\n              MC:\n            \n          \n          The deltoid ligament: an evaluation of need for surgical repair.\n\t\t\t\t\tClin Orthop Relat Res226: \n\t\t\t\t\t156,\n\t\t\t\t\t1988."},{"key":"i8750-7315-111-4-Article_7-b33","series-title":"Injury","doi-asserted-by":"publisher","first-page":"1581","DOI":"10.1016\/j.injury.2016.03.017","article-title":"The contribution of anterior deltoid ligament to ankle stability in isolated lateral malleolar fractures","volume":"47","author":"Lee","year":"2016","unstructured":"Lee\n              TH\n            \n            \n              Jang\n              KS\n            \n            \n              Choi\n              GW\n            \n            :\n\t\t\t\t\t\n          The contribution of anterior deltoid ligament to ankle stability in isolated lateral malleolar fractures.\n\t\t\t\t\tInjury47: \n\t\t\t\t\t1581,\n\t\t\t\t\t2016.\n\t\t\t\t2713328910.1016\/j.injury.2016.03.017"},{"key":"i8750-7315-111-4-Article_7-b34","series-title":"Injury","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1016\/0020-1383(88)90071-X","article-title":"Fracture-dislocation of the ankle with rupture of the deltoid ligament","volume":"19","author":"Johnson","year":"1988","unstructured":"Johnson\n              DP\n            \n            \n              Hill\n              J:\n            \n          \n          Fracture-dislocation of the ankle with rupture of the deltoid ligament.\n\t\t\t\t\tInjury19: \n\t\t\t\t\t59,\n\t\t\t\t\t1988.\n\t\t\t\t10.1016\/0020-1383(88)90071-X3198264"},{"key":"i8750-7315-111-4-Article_7-b35","series-title":"BMC Musculoskelet Disord","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1186\/s12891-017-1907-4","article-title":"Surgical treatment of ankle fracture with or without deltoid ligament repair: a comparative study","volume":"18","author":"Zhao","year":"2017","unstructured":"Zhao\n              HM\n            \n            \n              Lu\n              J\n            \n            \n              Zhang\n              F\n            \n            :\n\t\t\t\t\t\n          Surgical treatment of ankle fracture with or without deltoid ligament repair: a comparative study.\n\t\t\t\t\tBMC Musculoskelet Disord18: \n\t\t\t\t\t543,\n\t\t\t\t\t2017.\n\t\t\t\t10.1186\/s12891-017-1907-4"},{"key":"i8750-7315-111-4-Article_7-b36","series-title":"Br J Sports Med","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1136\/bjsports-2016-096178","article-title":"Treatment and prevention of acute and recurrent ankle sprain: an overview of systematic reviews with meta-analysis","volume":"51","author":"Doherty","year":"2017","unstructured":"Doherty\n              C\n            \n            \n              Bleakley\n              C\n            \n            \n              Delahunt\n              E\n            \n            :\n\t\t\t\t\t\n          Treatment and prevention of acute and recurrent ankle sprain: an overview of systematic reviews with meta-analysis.\n\t\t\t\t\tBr J Sports Med51: \n\t\t\t\t\t113,\n\t\t\t\t\t2017.\n\t\t\t\t10.1136\/bjsports-2016-09617828053200"},{"key":"i8750-7315-111-4-Article_7-b37","series-title":"Int Orthop","doi-asserted-by":"publisher","first-page":"1083","DOI":"10.1007\/s00264-010-1101-x","article-title":"The role of reduction and internal fixation of Lisfranc fracture-dislocations: a systematic review of the literature","volume":"34","author":"Stavlas","year":"2010","unstructured":"Stavlas\n              P\n            \n            \n              Roberts\n              CS\n            \n            \n              Xypnitos\n              FN\n            \n            :\n\t\t\t\t\t\n          The role of reduction and internal fixation of Lisfranc fracture-dislocations: a systematic review of the literature.\n\t\t\t\t\tInt Orthop34: \n\t\t\t\t\t1083,\n\t\t\t\t\t2010.\n\t\t\t\t10.1007\/s00264-010-1101-x20683593"},{"key":"i8750-7315-111-4-Article_7-b38","series-title":"Foot Ankle Clin","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1016\/j.fcl.2008.04.008","article-title":"Valgus ankle deformity and arthritis","volume":"13","author":"Bluman","year":"2008","unstructured":"Bluman\n              EM\n            \n            \n              Chiodo\n              CP:\n            \n          \n          Valgus ankle deformity and arthritis.\n\t\t\t\t\tFoot Ankle Clin13: \n\t\t\t\t\t443,\n\t\t\t\t\t2008.\n\t\t\t\t10.1016\/j.fcl.2008.04.00818692009"}],"container-title":["Journal of the American Podiatric Medical 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