{"id":"https://openalex.org/W7223822941","doi":"https://doi.org/10.1002/atn2.70336","title":"Arthroscopic\u2010Assisted Adjustable Progressive Compression Fixation for Distal Tibiofibular Syndesmosis Injury","display_name":"Arthroscopic\u2010Assisted Adjustable Progressive Compression Fixation for Distal Tibiofibular Syndesmosis Injury","publication_year":2026,"publication_date":"2026-10-26","ids":{"openalex":"https://openalex.org/W7223822941","doi":"https://doi.org/10.1002/atn2.70336","pmid":"https://pubmed.ncbi.nlm.nih.gov/42947981","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13710942"},"language":"en","primary_location":{"id":"doi:10.1002/atn2.70336","doi":"https://doi.org/10.1002/atn2.70336","is_oa":true,"landing_page_url":"https://doi.org/10.1002/atn2.70336","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/atn2.70336","source":{"id":"https://openalex.org/S2764888703","display_name":"Arthroscopy Techniques","issn_l":"2212-6287","issn":["2212-6287"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-70","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroscopy Techniques","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/atn2.70336","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5135657885","display_name":"Kehan Li","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210101660","display_name":"Ningbo No. 2 Hospital","ror":"https://ror.org/01apc5d07","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I19820366","https://openalex.org/I4210101660","https://openalex.org/I4210165038"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Kehan Li","raw_affiliation_strings":["Department of Orthopaedic Surgery Ningbo No. 2 Hospital  Ningbo Zhejiang China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery Ningbo No. 2 Hospital  Ningbo Zhejiang China","institution_ids":["https://openalex.org/I4210101660"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050874334","display_name":"Yang Chen","orcid":"https://orcid.org/0000-0001-9546-1149","observed_orcids":["https://orcid.org/0000-0001-9546-1149"]},"institutions":[{"id":"https://openalex.org/I4210101660","display_name":"Ningbo No. 2 Hospital","ror":"https://ror.org/01apc5d07","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I19820366","https://openalex.org/I4210101660","https://openalex.org/I4210165038"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yang Chen","raw_affiliation_strings":["Department of Orthopaedic Surgery Ningbo No. 2 Hospital  Ningbo Zhejiang China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery Ningbo No. 2 Hospital  Ningbo Zhejiang China","institution_ids":["https://openalex.org/I4210101660"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159823964","display_name":"Qiang Guo","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Qiang Guo","raw_affiliation_strings":["Department of Orthopaedic Surgery Xiangshan Hospital of Traditional Chinese Medicine  Ningbo Zhejiang China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery Xiangshan Hospital of Traditional Chinese Medicine  Ningbo Zhejiang China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5140608696","display_name":"Bo Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210101660","display_name":"Ningbo No. 2 Hospital","ror":"https://ror.org/01apc5d07","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I19820366","https://openalex.org/I4210101660","https://openalex.org/I4210165038"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Bo Zhang","raw_affiliation_strings":["Department of Orthopaedic Surgery Ningbo No. 2 Hospital  Ningbo Zhejiang China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery Ningbo No. 2 Hospital  Ningbo Zhejiang China","institution_ids":["https://openalex.org/I4210101660"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5140677114","display_name":"Haijun Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210101660","display_name":"Ningbo No. 2 Hospital","ror":"https://ror.org/01apc5d07","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I19820366","https://openalex.org/I4210101660","https://openalex.org/I4210165038"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Haijun Zhang","raw_affiliation_strings":["Department of Orthopaedic Surgery Ningbo No. 2 Hospital  Ningbo Zhejiang China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery Ningbo No. 2 Hospital  Ningbo Zhejiang China","institution_ids":["https://openalex.org/I4210101660"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5083743603","display_name":"Qiaojie Chen","orcid":"https://orcid.org/0000-0001-8600-9898","observed_orcids":["https://orcid.org/0000-0001-8600-9898"]},"institutions":[{"id":"https://openalex.org/I4210101660","display_name":"Ningbo No. 2 Hospital","ror":"https://ror.org/01apc5d07","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I19820366","https://openalex.org/I4210101660","https://openalex.org/I4210165038"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Qiaojie Chen","raw_affiliation_strings":["Department of Orthopaedic Surgery Ningbo No. 2 Hospital  Ningbo Zhejiang China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery Ningbo No. 2 Hospital  Ningbo Zhejiang China","institution_ids":["https://openalex.org/I4210101660"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5083743603"],"corresponding_institution_ids":["https://openalex.org/I4210101660"],"apc_list":{"value":975,"currency":"USD","value_usd":975},"apc_paid":{"value":975,"currency":"USD","value_usd":975},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.85226429,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"e70336","last_page":"e70336"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10455","display_name":"Foot and Ankle Surgery","score":0.9818999767303467,"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":0.9818999767303467,"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":0.013000000268220901,"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/T10630","display_name":"Orthopedic Surgery and Rehabilitation","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/distal-tibiofibular-syndesmosis-injury","display_name":"distal tibiofibular syndesmosis injury","score":0.9850000143051147},{"id":"https://openalex.org/keywords/ankle-injuries","display_name":"ankle injuries","score":0.6470000147819519},{"id":"https://openalex.org/keywords/endobutton","display_name":"Endobutton","score":0.9259999990463257},{"id":"https://openalex.org/keywords/elastic-fixation","display_name":"elastic fixation","score":0.7720000147819519},{"id":"https://openalex.org/keywords/micromotion","display_name":"micromotion","score":0.6909999847412109},{"id":"https://openalex.org/keywords/transverse-compression","display_name":"transverse compression","score":0.7070000171661377},{"id":"https://openalex.org/keywords/fluoroscopic-guidance","display_name":"fluoroscopic guidance","score":0.5189999938011169}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8371000289916992},{"id":"https://openalex.org/C2780776439","wikidata":"https://www.wikidata.org/wiki/Q2865760","display_name":"Syndesmosis","level":4,"score":0.8241999745368958},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.7889999747276306},{"id":"https://openalex.org/C2778640784","wikidata":"https://www.wikidata.org/wiki/Q168002","display_name":"Ankle","level":2,"score":0.5730000138282776},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.4657999873161316},{"id":"https://openalex.org/C180016635","wikidata":"https://www.wikidata.org/wiki/Q2712821","display_name":"Compression (physics)","level":2,"score":0.43059998750686646},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3984000086784363},{"id":"https://openalex.org/C106207104","wikidata":"https://www.wikidata.org/wiki/Q324926","display_name":"Fibula","level":3,"score":0.3709999918937683},{"id":"https://openalex.org/C170700871","wikidata":"https://www.wikidata.org/wiki/Q193378","display_name":"Biomechanics","level":2,"score":0.3231000006198883},{"id":"https://openalex.org/C154954056","wikidata":"https://www.wikidata.org/wiki/Q1604164","display_name":"Transverse plane","level":2,"score":0.24950000643730164}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1002/atn2.70336","doi":"https://doi.org/10.1002/atn2.70336","is_oa":true,"landing_page_url":"https://doi.org/10.1002/atn2.70336","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/atn2.70336","source":{"id":"https://openalex.org/S2764888703","display_name":"Arthroscopy Techniques","issn_l":"2212-6287","issn":["2212-6287"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-70","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroscopy Techniques","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13710942","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13710942/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13710942/pdf/ATN2-9999-e70336.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthrosc Tech","raw_type":"Text"},{"id":"pmid:42947981","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42947981","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":"Arthroscopy techniques","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1002/atn2.70336","doi":"https://doi.org/10.1002/atn2.70336","is_oa":true,"landing_page_url":"https://doi.org/10.1002/atn2.70336","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/atn2.70336","source":{"id":"https://openalex.org/S2764888703","display_name":"Arthroscopy Techniques","issn_l":"2212-6287","issn":["2212-6287"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-70","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroscopy Techniques","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8371999859809875}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320328634","display_name":"Medical Scientific Research Foundation of Zhejiang Province, China","ror":null}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223822941.pdf","grobid_xml":"https://content.openalex.org/works/W7223822941.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W18275736","https://openalex.org/W1436590428","https://openalex.org/W1604659649","https://openalex.org/W1797404435","https://openalex.org/W1938091529","https://openalex.org/W1982856875","https://openalex.org/W2014432636","https://openalex.org/W2018190106","https://openalex.org/W2069177879","https://openalex.org/W2084494028","https://openalex.org/W2125826798","https://openalex.org/W2125834038","https://openalex.org/W2793841107","https://openalex.org/W2995795179","https://openalex.org/W4281566683","https://openalex.org/W4318455267","https://openalex.org/W4398162175","https://openalex.org/W4406002910","https://openalex.org/W4406936857","https://openalex.org/W7126087894","https://openalex.org/W7153267315"],"related_works":["https://openalex.org/W2172095237","https://openalex.org/W7221536334","https://openalex.org/W3092894500","https://openalex.org/W4362523855","https://openalex.org/W4416726132","https://openalex.org/W3174512856","https://openalex.org/W2940576111","https://openalex.org/W4397042929","https://openalex.org/W3180508781","https://openalex.org/W3008794239"],"abstract_inverted_index":{"The":[0,30],"distal":[1,76,127],"tibiofibular":[2,77,128],"syndesmosis":[3,129],"injuries":[4],"are":[5],"a":[6,25,122],"common":[7],"type":[8],"of":[9,74,84,91],"ankle":[10],"injury.":[11],"Traditional":[12],"rigid":[13,85],"screw":[14],"fixation":[15,33,39,53,86,124],"presents":[16],"issues":[17],"such":[18],"as":[19],"restricting":[20],"physiological":[21,89],"micromotion":[22],"and":[23,41,66,70,108,117],"requiring":[24],"second":[26],"surgery":[27],"for":[28,126],"removal.":[29],"existing":[31],"elastic":[32,92],"techniques":[34],"have":[35],"limitations,":[36],"including":[37],"insufficient":[38],"strength":[40,83],"nonadjustable":[42],"tension.":[43],"This":[44,79,119],"technical":[45],"note":[46],"describes":[47],"an":[48,112],"arthroscopic-assisted":[49],"adjustable":[50],"progressive":[51],"compression":[52,73],"technique.":[54],"By":[55],"rotating":[56],"the":[57,60,75,82,88],"fibular-side":[58],"EndoButton,":[59],"4-strand":[61],"high-tensile":[62],"sutures":[63],"synchronously":[64],"twist":[65],"shorten,":[67],"achieving":[68,111],"continuous":[69],"controllable":[71],"transverse":[72],"syndesmosis.":[78],"technique":[80,120],"combines":[81],"with":[87],"compliance":[90],"fixation.":[93],"Intraoperatively,":[94],"tension":[95],"can":[96],"be":[97],"adjusted":[98],"in":[99],"real-time":[100],"based":[101],"on":[102],"tactile":[103],"feedback,":[104],"direct":[105],"arthroscopic":[106],"visualization,":[107],"fluoroscopic":[109],"imaging,":[110],"optimal":[113],"balance":[114],"between":[115],"stability":[116],"micromotion.":[118],"provides":[121],"reliable":[123],"option":[125],"injuries.":[130]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-10-28T00:00:00"}