{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:58Z","timestamp":1783509298559,"version":"3.55.0"},"reference-count":17,"publisher":"MDPI AG","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    The present study aimed to analyze and compare the efficacy of the anterolateral and posterolateral approaches for surgical treatment of supination\u2013external rotation type IV ankle fractures.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    This retrospective study enrolled 60 patients (60 feet) with supination\u2013external rotation type IV ankle fractures, including 30 patients (30 feet) treated by means of the anterolateral approach and 30 patients (30 feet) treated by means of the posterolateral approach. Postoperative clinical efficacy was compared between the groups based on operation time, intraoperative blood loss, postoperative complications, fracture healing time, visual analog scale scores, Short Form-36 Health Survey scores, and American Orthopedic Foot and Ankle Society scores. Comparisons between the two groups were performed using independent-samples\n                    <jats:italic>t<\/jats:italic>\n                    tests and analyses of variance. Intragroup differences were compared using paired\n                    <jats:italic>t<\/jats:italic>\n                    tests, and the \u03c7\n                    <jats:sup>2<\/jats:sup>\n                    test was used to compare categorical variables.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    All 60 included patients completed follow-up ranging from 12 to 18 months (mean duration, 14.8 \u00b1 3.5 months). Although baseline characteristics were similar in the two groups, there were significant differences in operation time (86.73 \u00b1 17.44 min versus 111.23 \u00b1 10.05 min;\n                    <jats:italic>P<\/jats:italic>\n                    &lt; .001) and intraoperative blood loss (112.60 \u00b1 25.05 mL versus 149.47 \u00b1 44.30 mL;\n                    <jats:italic>P<\/jats:italic>\n                    &lt; .001). Although fracture healing time (10.90 \u00b1 0.66 weeks versus 11.27 \u00b1 0.94 weeks;\n                    <jats:italic>P<\/jats:italic>\n                    = .087) was shorter in the anterolateral group than in the posterolateral group, the difference was not significant. Postoperative complications occurred in one and three patients in the anterolateral and posterolateral approach groups, respectively. Visual analog scale scores were significantly lower in the anterolateral group than in the posterolateral group (1.43 \u00b1 0.50 versus 1.83 \u00b1 0.75;\n                    <jats:italic>P<\/jats:italic>\n                    = .019), although there was no significant difference in Short Form-36 Health Survey scores between the groups (73.63 \u00b1 4.07 versus 72.70 \u00b1 4.04;\n                    <jats:italic>P<\/jats:italic>\n                    = .377). However, American Orthopedic Foot and Ankle Society scores were higher in the anterolateral group than in the posterolateral group (80.43 \u00b1 4.32 versus 75.43 \u00b1 11.32;\n                    <jats:italic>P<\/jats:italic>\n                    = .030).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Both the anterolateral and posterolateral approaches can achieve good results in the treatment of supination\u2013external rotation type IV ankle fractures. Compared with the posterolateral approach, the anterolateral approach is advantageous for the treatment of supination\u2013external rotation type IV ankle fractures given its safety and ability to reduce trauma, clear field of view revealed, and allow for exploration and repair of the inferior tibiofibular anterior syndesmosis within the same incision.\n                  <\/jats:p>","DOI":"10.7547\/22-211","type":"journal-article","created":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T12:35:37Z","timestamp":1715862937000},"source":"Crossref","is-referenced-by-count":0,"title":["Open Reduction and Internal Fixation for Supination-External Rotation Type IV Ankle Fractures by Means of Anterolateral and Posterolateral Approaches"],"prefix":"10.3390","volume":"114","author":[{"given":"LuLu","family":"Chai","sequence":"first","affiliation":[{"name":"Department of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, People\u2019s Republic of China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaju","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, People\u2019s Republic of China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan","family":"Yi","sequence":"additional","affiliation":[{"name":"Department of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, People\u2019s Republic of China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, People\u2019s Republic of China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhicheng","family":"Zuo","sequence":"additional","affiliation":[{"name":"Department of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, People\u2019s Republic of China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, People\u2019s Republic of China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, People\u2019s Republic of China."},{"name":"Department of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, People\u2019s Republic of China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"Pak J Med Sci","first-page":"438,","article-title":"Therapeutic effects of internal fixation with support plates and cannulated screws via the posterolateral approach on supination external rotation stage IV ankle fracture","volume":"36","author":"Liu Z","year":"2020","unstructured":"Liu Z, Tang G, Guo S, et al: Therapeutic effects of internal fixation with support plates and cannulated screws via the posterolateral approach on supination external rotation stage IV ankle fracture. 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Acta Orthop 88: 358, 2017."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/114\/2\/22-211.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/114\/2\/22-211.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/114\/2\/22-211.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:19:38Z","timestamp":1783505978000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/114\/2\/22211"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":17,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.7547\/22-211","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2024,3]]}}}