{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:45Z","timestamp":1783509285301,"version":"3.55.0"},"reference-count":13,"publisher":"MDPI AG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Unstable fracture-dislocation of the ankle is a common lower extremity injury. Treatment is challenging when the fracture-dislocation is open and cannot be treated with conventional open reduction and internal fixation (ORIF). Immediate ORIF may not be possible for severe, unstable ankle injuries, such as those with ischemic foot due to a poor blood supply caused by soft tissue injury, or open fracture-dislocation of the ankle with a deltoid ligament rupture. We described a staged treatment for unstable open fracture-dislocation of the ankle with a deltoid ligament rupture. The first stage involves temporary vertical transarticular pinning combined with external fixation. The second stage involves delayed definitive plating with autogenous bone graft for the bone defect of the distal fibula. This staged management is useful in select emergency cases of unstable open fracture-dislocations of the ankle combined with deltoid ligament rupture for which conventional ORIF cannot be performed.<\/jats:p>","DOI":"10.7547\/20-255","type":"journal-article","created":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T11:02:54Z","timestamp":1651143774000},"page":"1-18","source":"Crossref","is-referenced-by-count":0,"title":["Staged Treatment for Unstable Open Fracture-Dislocation of the Ankle: A Case Report"],"prefix":"10.3390","author":[{"given":"Jin","family":"Park","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, College of Medicine, Hallym University, Seoul, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyo Beom","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, College of Medicine, Yonsei University, Seoul, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gab Lae","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, College of Medicine, Yonsei University, Seoul, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyu Hyun","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, College of Medicine, Yonsei University, Seoul, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"J Trauma","doi-asserted-by":"publisher","first-page":"602","DOI":"10.1097\/00005373-197908000-00008","article-title":"Mandatory open reduction: its role in displaced ankle fractures","volume":"19","author":"Mitchell WG","year":"1979","unstructured":"Mitchell WG, Shaftan GW, Sclafani SJ: Mandatory open reduction: its role in displaced ankle fractures. 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