{"id":"https://openalex.org/W3207360844","doi":"https://doi.org/10.5005/jp-journals-10040-1199","title":"Quadrimalleolar Fractures of the Ankle: Think 360\u00b0\u2014A Step-by-step Guide on Evaluation and Fixation","display_name":"Quadrimalleolar Fractures of the Ankle: Think 360\u00b0\u2014A Step-by-step Guide on Evaluation and Fixation","publication_year":2021,"publication_date":"2021-10-14","ids":{"openalex":"https://openalex.org/W3207360844","doi":"https://doi.org/10.5005/jp-journals-10040-1199","mag":"3207360844"},"language":"en","primary_location":{"id":"doi:10.5005/jp-journals-10040-1199","doi":"https://doi.org/10.5005/jp-journals-10040-1199","is_oa":true,"landing_page_url":"https://doi.org/10.5005/jp-journals-10040-1199","pdf_url":"https://doi.org/10.5005/jp-journals-10040-1199","source":{"id":"https://openalex.org/S4210215416","display_name":"Journal of Foot and Ankle Surgery (Asia Pacific)","issn_l":"2348-280X","issn":["2348-280X","2394-7705"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Foot and Ankle Surgery (Asia Pacific)","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.5005/jp-journals-10040-1199","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5068939698","display_name":"Stefan Rammelt","orcid":"https://orcid.org/0000-0003-1141-6493","observed_orcids":["https://orcid.org/0000-0003-1141-6493"]},"institutions":[{"id":"https://openalex.org/I4210162051","display_name":"University Hospital Carl Gustav Carus","ror":"https://ror.org/04za5zm41","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210162051"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Stefan Rammelt","raw_affiliation_strings":["Foot and Ankle Center, University Hospital Carl Gustav Carus, Dresden, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Foot and Ankle Center, University Hospital Carl Gustav Carus, Dresden, Germany","institution_ids":["https://openalex.org/I4210162051"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058087604","display_name":"Germ\u00e1n Joannas","orcid":"https://orcid.org/0000-0001-9998-190X","observed_orcids":["https://orcid.org/0000-0001-9998-190X"]},"institutions":[{"id":"https://openalex.org/I4210105720","display_name":"Instituto Colombiano de Medicina Tropical","ror":"https://ror.org/01gpc7s59","country_code":"CO","type":"nonprofit","lineage":["https://openalex.org/I4210105720"]},{"id":"https://openalex.org/I4210123828","display_name":"Fundaci\u00f3n Universitaria CEIPA","ror":"https://ror.org/03e55jv37","country_code":"CO","type":"education","lineage":["https://openalex.org/I4210123828"]},{"id":"https://openalex.org/I4387154231","display_name":"Instituto de Geograf\u00eda Tropical","ror":"https://ror.org/03161d176","country_code":"CU","type":"government","lineage":["https://openalex.org/I4387154231"]},{"id":"https://openalex.org/I4387156001","display_name":"Centro de Investigaci\u00f3n de Pol\u00edmeros Avanzados","ror":"https://ror.org/05sfxp371","country_code":"CL","type":"facility","lineage":["https://openalex.org/I4387156001"]},{"id":"https://openalex.org/I4403386688","display_name":"Instituto Ivoti","ror":"https://ror.org/00e3y0580","country_code":"BR","type":"education","lineage":["https://openalex.org/I4403386688"]},{"id":"https://openalex.org/I4405257944","display_name":"Instituto Central de Ciencias Pedag\u00f3gicas","ror":"https://ror.org/05vgzn161","country_code":"CU","type":"education","lineage":["https://openalex.org/I4405257944"]}],"countries":["BR","CL","CO","CU"],"is_corresponding":true,"raw_author_name":"Joannas German","raw_affiliation_strings":["CEPP, Instituto Dupuytren, Caba, Argentina,","Foot and Ankle Division,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"CEPP, Instituto Dupuytren, Caba, Argentina,","institution_ids":["https://openalex.org/I4210105720","https://openalex.org/I4210123828","https://openalex.org/I4387154231","https://openalex.org/I4387156001","https://openalex.org/I4403386688","https://openalex.org/I4405257944"]},{"raw_affiliation_string":"Foot and Ankle Division,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059480941","display_name":"Guillermo Martin Arrondo","orcid":"https://orcid.org/0000-0003-4767-5489","observed_orcids":["https://orcid.org/0000-0003-4767-5489"]},"institutions":[{"id":"https://openalex.org/I4210105720","display_name":"Instituto Colombiano de Medicina Tropical","ror":"https://ror.org/01gpc7s59","country_code":"CO","type":"nonprofit","lineage":["https://openalex.org/I4210105720"]},{"id":"https://openalex.org/I4210123828","display_name":"Fundaci\u00f3n Universitaria CEIPA","ror":"https://ror.org/03e55jv37","country_code":"CO","type":"education","lineage":["https://openalex.org/I4210123828"]},{"id":"https://openalex.org/I4387154231","display_name":"Instituto de Geograf\u00eda Tropical","ror":"https://ror.org/03161d176","country_code":"CU","type":"government","lineage":["https://openalex.org/I4387154231"]},{"id":"https://openalex.org/I4387156001","display_name":"Centro de Investigaci\u00f3n de Pol\u00edmeros Avanzados","ror":"https://ror.org/05sfxp371","country_code":"CL","type":"facility","lineage":["https://openalex.org/I4387156001"]},{"id":"https://openalex.org/I4403386688","display_name":"Instituto Ivoti","ror":"https://ror.org/00e3y0580","country_code":"BR","type":"education","lineage":["https://openalex.org/I4403386688"]},{"id":"https://openalex.org/I4405257944","display_name":"Instituto Central de Ciencias Pedag\u00f3gicas","ror":"https://ror.org/05vgzn161","country_code":"CU","type":"education","lineage":["https://openalex.org/I4405257944"]}],"countries":["BR","CL","CO","CU"],"is_corresponding":false,"raw_author_name":"Arrondo Guillermo","raw_affiliation_strings":["CEPP, Instituto Dupuytren, Caba, Argentina,","Foot and Ankle Division,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"CEPP, Instituto Dupuytren, Caba, Argentina,","institution_ids":["https://openalex.org/I4210105720","https://openalex.org/I4210123828","https://openalex.org/I4387154231","https://openalex.org/I4387156001","https://openalex.org/I4403386688","https://openalex.org/I4405257944"]},{"raw_affiliation_string":"Foot and Ankle Division,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060109347","display_name":"Leandro Casola","orcid":"https://orcid.org/0000-0003-1187-0864","observed_orcids":["https://orcid.org/0000-0003-1187-0864"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Casola Leandro","raw_affiliation_strings":["Foot and Ankle Division, CEPP, Instituto Dupuytren, Caba, Argentina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Foot and Ankle Division, CEPP, Instituto Dupuytren, Caba, Argentina","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5064457918","display_name":"Luciano Mizdraji","orcid":"https://orcid.org/0000-0003-0305-0065","observed_orcids":["https://orcid.org/0000-0003-0305-0065"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mizdraji Luciano","raw_affiliation_strings":["Foot and Ankle Division, Clinica Olivos, Buenos Aires, Argentina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Foot and Ankle Division, Clinica Olivos, Buenos Aires, Argentina","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":5,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5058087604"],"corresponding_institution_ids":["https://openalex.org/I4210105720","https://openalex.org/I4210123828","https://openalex.org/I4387154231","https://openalex.org/I4387156001","https://openalex.org/I4403386688","https://openalex.org/I4405257944"],"apc_list":null,"apc_paid":null,"fwci":1.4006,"has_fulltext":true,"cited_by_count":13,"citation_normalized_percentile":{"value":0.7646277,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":98},"biblio":{"volume":"8","issue":"4","first_page":"193","last_page":"200"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10455","display_name":"Foot and Ankle Surgery","score":0.9359999895095825,"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":0.9359999895095825,"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":0.057500001043081284,"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/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.0005000000237487257,"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/trimalleolar-fracture","display_name":"trimalleolar fracture","score":0.8560000061988831},{"id":"https://openalex.org/keywords/ankle-fractures","display_name":"ankle fractures","score":0.8019999861717224},{"id":"https://openalex.org/keywords/posterior-malleolar-fracture","display_name":"posterior malleolus fracture","score":0.7639999985694885},{"id":"https://openalex.org/keywords/lateral-malleolus-fracture","display_name":"lateral malleolus fracture","score":0.8299999833106995},{"id":"https://openalex.org/keywords/medial-malleolar-fracture","display_name":"medial malleolus fracture","score":0.9800000190734863},{"id":"https://openalex.org/keywords/open-reduction-and-internal-fixation","display_name":"open reduction and internal fixation","score":0.8169999718666077},{"id":"https://openalex.org/keywords/weight-bearing-rehabilitation","display_name":"weight-bearing rehabilitation","score":0.460999995470047}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9150582551956177},{"id":"https://openalex.org/C2778640784","wikidata":"https://www.wikidata.org/wiki/Q168002","display_name":"Ankle","level":2,"score":0.7944697141647339},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.703646719455719},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.5676604509353638},{"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":[],"locations_count":1,"locations":[{"id":"doi:10.5005/jp-journals-10040-1199","doi":"https://doi.org/10.5005/jp-journals-10040-1199","is_oa":true,"landing_page_url":"https://doi.org/10.5005/jp-journals-10040-1199","pdf_url":"https://doi.org/10.5005/jp-journals-10040-1199","source":{"id":"https://openalex.org/S4210215416","display_name":"Journal of Foot and Ankle Surgery (Asia Pacific)","issn_l":"2348-280X","issn":["2348-280X","2394-7705"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Foot and Ankle Surgery (Asia Pacific)","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.5005/jp-journals-10040-1199","doi":"https://doi.org/10.5005/jp-journals-10040-1199","is_oa":true,"landing_page_url":"https://doi.org/10.5005/jp-journals-10040-1199","pdf_url":"https://doi.org/10.5005/jp-journals-10040-1199","source":{"id":"https://openalex.org/S4210215416","display_name":"Journal of Foot and Ankle Surgery (Asia Pacific)","issn_l":"2348-280X","issn":["2348-280X","2394-7705"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Foot and Ankle Surgery (Asia Pacific)","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.8371999859809875,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3207360844.pdf","grobid_xml":"https://content.openalex.org/works/W3207360844.grobid-xml"},"referenced_works_count":45,"referenced_works":["https://openalex.org/W1969210794","https://openalex.org/W1971543566","https://openalex.org/W1974732766","https://openalex.org/W1976672493","https://openalex.org/W1992473120","https://openalex.org/W1994242969","https://openalex.org/W2000732253","https://openalex.org/W2007181693","https://openalex.org/W2012951137","https://openalex.org/W2014701388","https://openalex.org/W2044700882","https://openalex.org/W2065021058","https://openalex.org/W2068451719","https://openalex.org/W2080035957","https://openalex.org/W2094871786","https://openalex.org/W2125805655","https://openalex.org/W2129074297","https://openalex.org/W2142517259","https://openalex.org/W2145612825","https://openalex.org/W2157385497","https://openalex.org/W2318858059","https://openalex.org/W2415538996","https://openalex.org/W2563699198","https://openalex.org/W2602841161","https://openalex.org/W2602917045","https://openalex.org/W2740854045","https://openalex.org/W2757848227","https://openalex.org/W2765799228","https://openalex.org/W2766800687","https://openalex.org/W2771505370","https://openalex.org/W2903987119","https://openalex.org/W2904974055","https://openalex.org/W2911536516","https://openalex.org/W2928280394","https://openalex.org/W3082262413","https://openalex.org/W3087056551","https://openalex.org/W3093900252","https://openalex.org/W3131903348","https://openalex.org/W3138620089","https://openalex.org/W3141739595","https://openalex.org/W3164402751","https://openalex.org/W3173320938","https://openalex.org/W3196523287","https://openalex.org/W4230301292","https://openalex.org/W4231065768"],"related_works":["https://openalex.org/W4206982105","https://openalex.org/W3093900252","https://openalex.org/W7214066478","https://openalex.org/W4385991107","https://openalex.org/W2945806971","https://openalex.org/W2609461382","https://openalex.org/W3191451776","https://openalex.org/W1902337833","https://openalex.org/W2094232233","https://openalex.org/W4226317233"],"abstract_inverted_index":{"Trimalleolar":[0,40],"fractures,":[1],"which":[2,112],"involve":[3],"the":[4,26,71,89,122,128,131,181,194,208],"medial":[5],"malleolus,":[6,8,11],"lateral":[7],"and":[9,32,73,102,118,137,176,206],"posterior":[10,74],"have":[12,124],"been":[13,125],"traditionally":[14],"associated":[15],"with":[16,42,151,157,166,187,217],"a":[17,56,158],"less":[18],"favorable":[19],"prognosis":[20],"in":[21,207],"ankle":[22,82],"fractures.":[23,48],"Less":[24],"frequently,":[25],"anterolateral":[27],"tibial":[28,75],"rim":[29,35],"(\"Tillaux-Chaput":[30],"tubercle\")":[31],"anteromedial":[33],"fibular":[34],"(\"Wagstaffe-LeFort":[36],"fragment\")":[37],"are":[38,45,155,198,215],"fractured.":[39],"fractures":[41,44,69,123,154],"anterior":[43,72],"named":[46],"quadrimalleolar":[47],"Only":[49],"correct":[50],"planning":[51],"will":[52],"lead":[53],"us":[54],"to":[55,64,172,200],"good":[57],"result.":[58],"A":[59],"360":[60],"view":[61],"is":[62,79,83,114],"needed":[63],"plan":[65],"appropriate":[66],"treatment":[67],"for":[68,161],"including":[70],"rim.":[76],"CT":[77,91],"scanning":[78],"essential.":[80],"The":[81],"divided":[84],"into":[85],"four":[86,142],"areas":[87],"on":[88,111],"axial":[90],"scan:":[92],"(A)":[93],"(posterior":[94],"malleolus),":[95,98,101],"(B)":[96],"(medial":[97],"(C)":[99],"(lateral":[100],"(D)":[103],"(anterior":[104],"malleolus":[105,113],"Chaput":[106],"and/or":[107],"Wagstaffe":[108],"fragments).":[109],"Depending":[110],"involved,":[115],"different":[116],"approaches":[117],"ways":[119],"of":[120,130,140,180],"fixing":[121],"described.":[126],"At":[127],"end":[129],"procedure,":[132],"after":[133,164],"performing":[134],"open":[135],"reduction":[136],"internal":[138],"fixation":[139],"all":[141],"malleoli,":[143],"syndesmotic":[144],"stability":[145],"must":[146],"be":[147],"tested":[148],"intraoperatively.":[149],"Patients":[150],"complex":[152],"malleolar":[153],"kept":[156],"walker":[159],"boot":[160],"15-21":[162],"days":[163],"surgery":[165],"sole":[167],"contact":[168],"(max.":[169],"20":[170],"kg),":[171],"avoid":[173],"subsequent":[174],"retraction":[175],"forced":[177],"plantar":[178],"flexion":[179],"ankle.":[182],"Early":[183],"walking":[184],"as":[185],"tolerated":[186],"two":[188],"crutches":[189],"at":[190],"week":[191,210],"4.":[192],"In":[193],"fifth":[195],"week,":[196],"we":[197],"authorized":[199],"weight":[201],"bear":[202],"50%":[203],"(one":[204],"crutch)":[205],"sixth":[209],"full":[211],"weight-bearing.":[212],"These":[213],"periods":[214],"prolonged":[216],"osteoporosis,":[218],"plafond":[219],"impaction,":[220],"or":[221],"poor":[222],"patient":[223],"compliance.":[224]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":4},{"year":2022,"cited_by_count":2}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2021-10-25T00:00:00"}