{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:15:00Z","timestamp":1783509300568,"version":"3.55.0"},"reference-count":15,"publisher":"MDPI AG","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>A 70-year-old patient with multiple medical problems presented to us with displaced closed very distal tibia and fibula fractures and a prior total knee replacement on the affected extremity. We treated the patient with an isolated fibula open reduction and internal fixation. At a 1-year follow-up, both the tibial and fibular fractures had healed, and the patient had an excellent outcome. \u201cFibula-only\u201d fixation of very distal tibia-fibula fractures appears to be a viable option to manage these difficult fractures. The novelty of the case report lies in that this technique has not been described previously in the literature.<\/jats:p>","DOI":"10.7547\/22-026","type":"journal-article","created":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T13:40:44Z","timestamp":1689601244000},"source":"Crossref","is-referenced-by-count":0,"title":["Fibula-Only Fixation for a Very Distal Tibia-Fibula Fracture: A Case Report"],"prefix":"10.3390","volume":"113","author":[{"given":"Sriram","family":"Sankaranarayanan","sequence":"first","affiliation":[{"name":"New York University Langone School of Medicine, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandrakanth","family":"Boddu","sequence":"additional","affiliation":[{"name":"United States Department of Veterans Affairs, VA Northeast Ohio Healthcare System, Cleveland, OH."},{"name":"Orthopaedic Surgery Residency\/Case Western Reserve University, Cleveland, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"Ortop Traumatol Rehabil","first-page":"537","article-title":"Operative management of distal tibial extra-articular fractures\u2014intramedullary nail versus minimally invasive percutaneous plate osteosynthesis","volume":"19","author":"Wani IH","year":"2017","unstructured":"Wani IH, Ul Gani N, Yaseen M, : Operative management of distal tibial extra-articular fractures\u2014intramedullary nail versus minimally invasive percutaneous plate osteosynthesis. Ortop Traumatol Rehabil 19: 537, 2017."},{"key":"B2","series-title":"J Am Acad Orthop Surg","first-page":"675","article-title":"Management of extra-articular fractures of the distal tibia: intramedullary nailing versus plate fixation","volume":"20","author":"Casstevens C","year":"2012","unstructured":"Casstevens C, Le T, Archdeacon MT, : Management of extra-articular fractures of the distal tibia: intramedullary nailing versus plate fixation. J Am Acad Orthop Surg 20: 675, 2012."},{"key":"B3","series-title":"Injury","first-page":"345","article-title":"Plate vs. nail for extra-articular distal tibia fractures: how should we personalize surgical treatment? A meta-analysis of 1332 patients","volume":"52","author":"Bleeker NJ","year":"2021","unstructured":"Bleeker NJ, van de Wall BJM, IJpma FFA, : Plate vs. nail for extra-articular distal tibia fractures: how should we personalize surgical treatment? A meta-analysis of 1332 patients. Injury 52: 345, 2021."},{"key":"B4","series-title":"Oper Orthop Traumatol","first-page":"397","article-title":"Intramedullary nailing of the distal tibia illustrated with the Expert tibia nail [in German]","volume":"23","author":"El Attal R","year":"2011","unstructured":"El Attal R, Hansen M, Rosenberger R, : Intramedullary nailing of the distal tibia illustrated with the Expert tibia nail [in German]. Oper Orthop Traumatol 23: 397, 2011."},{"key":"B5","series-title":"Int Orthop","first-page":"583","article-title":"Distal tibia fractures: management and complications of 101 cases","volume":"34","author":"Joveniaux P","year":"2010","unstructured":"Joveniaux P, Ohl X, Harisboure A, : Distal tibia fractures: management and complications of 101 cases. 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Eur J Orthop Surg Traumatol 30: 1487, 2020."},{"key":"B13","series-title":"Injury","first-page":"1514","article-title":"Complications and functional outcome after fixation of distal tibia fractures with locking plate\u2014a multicentre study","volume":"47","author":"Viberg B","year":"2016","unstructured":"Viberg B, Kleven S, Hamborg-Petersen E, : Complications and functional outcome after fixation of distal tibia fractures with locking plate\u2014a multicentre study. Injury 47: 1514, 2016."},{"key":"B14","series-title":"Trauma Mon","first-page":"e22131","article-title":"Complications of minimally invasive percutaneous plating for distal tibial fractures","volume":"21","author":"Muzaffar N","year":"2016","unstructured":"Muzaffar N, Bhat R, Yasin M: Complications of minimally invasive percutaneous plating for distal tibial fractures. Trauma Mon 21: e22131, 2016."},{"key":"B15","series-title":"Iowa Orthop J","first-page":"75","article-title":"Primary retrograde tibiotalocalcaneal nailing for fragility ankle fractures","volume":"36","author":"Taylor BC","year":"2016","unstructured":"Taylor BC, Hansen DC, Harrison R, : Primary retrograde tibiotalocalcaneal nailing for fragility ankle fractures. Iowa Orthop J 36: 75, 2016."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/113\/3\/22-026.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/113\/3\/22-026.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/113\/3\/22-026.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:19:13Z","timestamp":1783505953000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/113\/3\/22026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":15,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.7547\/22-026","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2023,5]]}}}