{"id":"https://openalex.org/W2906090765","doi":"https://doi.org/10.1177/1071100718816692","title":"Radiographic Results of Unicortical Medial Malleolar Fracture Fixation","display_name":"Radiographic Results of Unicortical Medial Malleolar Fracture Fixation","publication_year":2018,"publication_date":"2018-12-20","ids":{"openalex":"https://openalex.org/W2906090765","doi":"https://doi.org/10.1177/1071100718816692","mag":"2906090765","pmid":"https://pubmed.ncbi.nlm.nih.gov/30569757"},"language":"en","primary_location":{"id":"doi:10.1177/1071100718816692","doi":"https://doi.org/10.1177/1071100718816692","is_oa":false,"landing_page_url":"https://doi.org/10.1177/1071100718816692","pdf_url":null,"source":{"id":"https://openalex.org/S41600865","display_name":"Foot & Ankle International","issn_l":"1071-1007","issn":["1071-1007","1944-7876"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-2","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Foot & Ankle International","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5035957674","display_name":"Henrik C. B\u00e4cker","orcid":"https://orcid.org/0000-0002-4265-477X","observed_orcids":["https://orcid.org/0000-0002-4265-477X"]},"institutions":[{"id":"https://openalex.org/I2799503643","display_name":"Columbia University Irving Medical Center","ror":"https://ror.org/01esghr10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799503643"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Henrik C. B\u00e4cker","raw_affiliation_strings":["Department of Orthopaedic Surgery, Columbia University Medical Center, NY, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Columbia University Medical Center, NY, USA","institution_ids":["https://openalex.org/I2799503643"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Matthew Konigsberg","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799503643","display_name":"Columbia University Irving Medical Center","ror":"https://ror.org/01esghr10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799503643"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Matthew Konigsberg","raw_affiliation_strings":["Department of Orthopaedic Surgery, Columbia University Medical Center, NY, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Columbia University Medical Center, NY, USA","institution_ids":["https://openalex.org/I2799503643"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056436365","display_name":"Christina E. Freibott","orcid":"https://orcid.org/0000-0002-9033-8317","observed_orcids":["https://orcid.org/0000-0002-9033-8317"]},"institutions":[{"id":"https://openalex.org/I2799503643","display_name":"Columbia University Irving Medical Center","ror":"https://ror.org/01esghr10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799503643"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christina E. Freibott","raw_affiliation_strings":["Department of Orthopaedic Surgery, Columbia University Medical Center, NY, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Columbia University Medical Center, NY, USA","institution_ids":["https://openalex.org/I2799503643"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005884274","display_name":"Melvin Paul Rosenwasser","orcid":"https://orcid.org/0000-0002-0516-3824","observed_orcids":["https://orcid.org/0000-0002-0516-3824"]},"institutions":[{"id":"https://openalex.org/I2799503643","display_name":"Columbia University Irving Medical Center","ror":"https://ror.org/01esghr10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799503643"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Melvin P. Rosenwasser","raw_affiliation_strings":["Department of Orthopaedic Surgery, Columbia University Medical Center, NY, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Columbia University Medical Center, NY, USA","institution_ids":["https://openalex.org/I2799503643"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076157118","display_name":"Justin Greisberg","orcid":"https://orcid.org/0000-0001-7475-8760","observed_orcids":["https://orcid.org/0000-0001-7475-8760"]},"institutions":[{"id":"https://openalex.org/I2799503643","display_name":"Columbia University Irving Medical Center","ror":"https://ror.org/01esghr10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799503643"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Justin K. Greisberg","raw_affiliation_strings":["Department of Orthopaedic Surgery, Columbia University Medical Center, NY, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Columbia University Medical Center, NY, USA","institution_ids":["https://openalex.org/I2799503643"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5072497003","display_name":"James Turner Vosseller","orcid":"https://orcid.org/0000-0002-9639-3739","observed_orcids":["https://orcid.org/0000-0002-9639-3739"]},"institutions":[{"id":"https://openalex.org/I2799503643","display_name":"Columbia University Irving Medical Center","ror":"https://ror.org/01esghr10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799503643"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J. Turner Vosseller","raw_affiliation_strings":["Department of Orthopaedic Surgery, Columbia University Medical Center, NY, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Columbia University Medical Center, NY, USA","institution_ids":["https://openalex.org/I2799503643"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5035957674"],"corresponding_institution_ids":["https://openalex.org/I2799503643"],"apc_list":{"value":4150,"currency":"USD","value_usd":4150},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":6,"citation_normalized_percentile":{"value":0.19676388,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"40","issue":"4","first_page":"398","last_page":"401"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10455","display_name":"Foot and Ankle Surgery","score":0.8490999937057495,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10455","display_name":"Foot and Ankle Surgery","score":0.8490999937057495,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.14100000262260437,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medial-malleolar-fracture","display_name":"medial malleolus fracture","score":0.9700000286102295},{"id":"https://openalex.org/keywords/unicortical-fixation","display_name":"unicortical fixation","score":0.7580000162124634},{"id":"https://openalex.org/keywords/ankle-fractures","display_name":"ankle fractures","score":0.6830000281333923},{"id":"https://openalex.org/keywords/rotational-ankle-fractures","display_name":"rotational ankle fractures","score":0.8100000023841858},{"id":"https://openalex.org/keywords/fracture-union-rate","display_name":"fracture union rate","score":0.7279999852180481},{"id":"https://openalex.org/keywords/malunion","display_name":"malunion","score":0.7820000052452087},{"id":"https://openalex.org/keywords/nonunion","display_name":"nonunion","score":0.7839999794960022},{"id":"https://openalex.org/keywords/delayed-union","display_name":"delayed union","score":0.8339999914169312},{"id":"https://openalex.org/keywords/post-traumatic-osteoarthritis","display_name":"post-traumatic osteoarthritis","score":0.8970000147819519},{"id":"https://openalex.org/keywords/radiographic-outcomes","display_name":"radiographic outcomes","score":0.5260000228881836}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9651126861572266},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.6500004529953003},{"id":"https://openalex.org/C2778640784","wikidata":"https://www.wikidata.org/wiki/Q168002","display_name":"Ankle","level":2,"score":0.6266852617263794},{"id":"https://openalex.org/C2779779000","wikidata":"https://www.wikidata.org/wiki/Q25036443","display_name":"Malunion","level":3,"score":0.602069616317749},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5945712327957153},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.5425889492034912},{"id":"https://openalex.org/C2910623885","wikidata":"https://www.wikidata.org/wiki/Q6578319","display_name":"Medial malleolus","level":3,"score":0.4604848325252533},{"id":"https://openalex.org/C2777910003","wikidata":"https://www.wikidata.org/wiki/Q1707292","display_name":"Asymptomatic","level":2,"score":0.42949575185775757},{"id":"https://openalex.org/C2779330695","wikidata":"https://www.wikidata.org/wiki/Q7049641","display_name":"Nonunion","level":2,"score":0.21005365252494812},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001863","descriptor_name":"Bone Screws","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005593","descriptor_name":"Fracture Fixation, Internal","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011859","descriptor_name":"Radiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D064386","descriptor_name":"Ankle Fractures","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D064386","descriptor_name":"Ankle Fractures","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1177/1071100718816692","doi":"https://doi.org/10.1177/1071100718816692","is_oa":false,"landing_page_url":"https://doi.org/10.1177/1071100718816692","pdf_url":null,"source":{"id":"https://openalex.org/S41600865","display_name":"Foot & Ankle International","issn_l":"1071-1007","issn":["1071-1007","1944-7876"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-2","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Foot & Ankle International","raw_type":"journal-article"},{"id":"pmid:30569757","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30569757","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Foot & ankle international","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9537000060081482,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":12,"referenced_works":["https://openalex.org/W1988826973","https://openalex.org/W2000084199","https://openalex.org/W2044203166","https://openalex.org/W2065614871","https://openalex.org/W2102426267","https://openalex.org/W2107107426","https://openalex.org/W2129257109","https://openalex.org/W2214805097","https://openalex.org/W2313365419","https://openalex.org/W2322258636","https://openalex.org/W2572316614","https://openalex.org/W4296307701"],"related_works":["https://openalex.org/W4416665321","https://openalex.org/W4406867766","https://openalex.org/W1988826973","https://openalex.org/W2939515353","https://openalex.org/W2521025423","https://openalex.org/W2107107426","https://openalex.org/W4413340847","https://openalex.org/W4205415711","https://openalex.org/W2065614871","https://openalex.org/W2754595592"],"abstract_inverted_index":{"BACKGROUND::":[0],"Medial":[1],"malleolar":[2,77,85,116,215,224,234],"fractures":[3,98,235],"commonly":[4],"occur":[5],"as":[6,122,158],"part":[7],"of":[8,51,68,72,105,110,147,186,208,232],"rotational":[9],"ankle":[10,97],"fractures,":[11],"which":[12,111],"often":[13],"require":[14],"surgery.":[15,206,216],"Different":[16],"fixation":[17,87,225,231,263],"techniques":[18],"exist,":[19],"including":[20],"unicortical":[21,42,56,75,83,222],"or":[22,150],"bicortical":[23,248],"lag-screw":[24],"fixation.":[25,78],"Bicortical":[26],"screws":[27,57,249],"that":[28,174,247,257],"engage":[29],"the":[30,65,129,187,218,258],"lateral":[31],"distal":[32],"tibia":[33],"have":[34,54,245],"been":[35],"noted":[36],"to":[37,41,63],"be":[38,265],"biomechanically":[39],"superior":[40],"ones":[43],"with":[44,74,101,128,191],"a":[45,69,102,114],"lower":[46],"failure":[47],"rate.":[48],"The":[49,139,194],"authors":[50],"this":[52,261],"study":[53,60],"used":[55],"routinely.":[58],"This":[59],"was":[61,142,153,156,226],"initiated":[62],"investigate":[64],"clinical":[66,254],"results":[67,255],"large":[70],"series":[71],"patients":[73,119,136,211],"medial":[76,84,115,188,214,223,233],"METHODS::":[79],"Patients":[80],"who":[81],"underwent":[82],"fracture":[86],"between":[88],"2011":[89],"and":[90,183],"2017":[91],"were":[92,99,120,166],"reviewed.":[93],"In":[94],"total,":[95],"461":[96],"identified":[100],"mean":[103],"follow-up":[104],"11.4":[106],"months":[107],"(range,":[108],"3-57),":[109],"211":[112],"had":[113],"fracture.":[117],"Eight":[118],"excluded":[121],"they":[123],"did":[124],"not":[125,202],"follow":[126],"up":[127],"treating":[130],"surgeons":[131],"after":[132],"surgery,":[133],"leaving":[134],"203":[135],"for":[137,260],"evaluation.":[138],"primary":[140],"outcome":[141],"radiographic":[143],"union.":[144],"Any":[145],"loss":[146],"reduction,":[148],"complication,":[149],"subsequent":[151],"surgery":[152],"recorded.":[154],"Malunion":[155],"defined":[157],"greater":[159],"than":[160],"2":[161,167,184],"mm":[162],"displacement.":[163],"RESULTS::":[164],"There":[165],"asymptomatic":[168],"nonunions":[169],"(1.0%),":[170],"1":[171,192],"delayed":[172],"union":[173,219],"healed":[175],"using":[176,221],"an":[177],"external":[178],"bone":[179],"growth":[180],"stimulator":[181],"(0.5%),":[182],"malunions":[185],"malleolus":[189],"(1.0%)":[190],"asymptomatic.":[193],"other":[195],"patient":[196],"developed":[197],"posttraumatic":[198],"osteoarthritis":[199],"but":[200],"has":[201],"yet":[203],"required":[204,212],"further":[205],"None":[207],"these":[209],"5":[210],"revision":[213],"Ultimately,":[217],"rate":[220],"99.0%":[227],"(201/203).":[228],"CONCLUSION::":[229],"Unicortical":[230],"resulted":[236],"in":[237],"consistently":[238],"good":[239],"healing.":[240],"Even":[241],"though":[242],"biomechanical":[243],"studies":[244],"shown":[246],"provide":[250],"stronger":[251,262],"fixation,":[252],"our":[253],"indicate":[256],"need":[259],"may":[264],"questionable.":[266],"LEVEL":[267],"OF":[268],"EVIDENCE::":[269],"Level":[270],"IV,":[271],"retrospective":[272],"case":[273],"series.":[274]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-01-01T00:00:00"}