The Importance of the Deep Deltoid Ligament Repair in Treating Supination-External Rotation Stage IV Ankle Fracture: A Comparative Retrospective Cohort Study
Background. The necessity of the deep deltoid ligament repair in the treatment of supination-external rotation (SER) ankle stage IV fracture with deltoid ligament rupture is highly debated. We conducted this retrospective research aimed at exploring the curative effect of the deep deltoid ligament r...
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| description | Background. The necessity of the deep deltoid ligament repair in the treatment of supination-external rotation (SER) ankle stage IV fracture with deltoid ligament rupture is highly debated. We conducted this retrospective research aimed at exploring the curative effect of the deep deltoid ligament repair in treating SER fracture. Methods. Sixty-three patients with closed SER stage IV fractures received open reduction and internal fixation (ORIF), using either deep deltoid ligament repair (the DDLR group, 31 patients) or nondeep deltoid ligament repair (the NDDLR group, 32 patients). The radiographic parameters examined include the talocrural angle (TA), fibular length (FL), tibiomedial malleolar angle (TMMA), medial clear space (MCS), and tibiofibular clear space (TFCS). The functional performance parameters examined in the study were visual analog scale (VAS) pain score, American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot scales, and range of motion of bilateral ankles (RMBA). Complications, including bone nonunion, infection, and fragment displacement, were also recorded and compared. Results. Similar basic characteristics were found in both cohorts. All patients completed follow-up ranging from 12 to 22 months (mean time: 12.41±4.21 months). The DDLR group had significantly reduced VAS score (p0.05), and 12 months (p>0.05), in terms of parameters including TA, FL, TMMA, MCS, TCS, and AOFAS ankle-hindfoot scales. Conclusion. Although similar radiographic performances were achieved in both cohorts, the DDLR group displayed enhanced functional outcome postsurgery, indicating that DDLR may be a better potential for the treatment of SER stage IV fracture with deltoid ligament rupture. |
| doi_str_mv | 10.1155/2020/2043015 |
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| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7719498</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A697108847</galeid><sourcerecordid>A697108847</sourcerecordid><originalsourceid>FETCH-LOGICAL-c499t-882fc3e31612ef5c29a9cf923e9c291d84d3e527ae182ad2a34e409de929986d3</originalsourceid><addsrcrecordid>eNqNkk1v1DAQhiMEolXpjTOyxAWJLvgrH-aAtFpaqLQSUrtwtYwz2XVJ7NRxSvtj-K9MussWOOHDeDzz-PV4NFn2nNE3jOX5W045RSMFZfmj7JALJmcFk-zx3hfiIDsehiuKq2IFVcXT7EAIgQnGD7Ofqw2Q864PMRlvgYSGJIx8AOjRtCm4mizd2nTgE7mA3rhInCerCCY5vyaXY-88usHPTm8TRG9achHSfYRcJrNG9a9k7r-3QM6isWmM8I7MySJ0vYmI3QDKphiGHuz9aRE2WAzeHeu7Z9mTxrQDHO_2o-zL2elq8Wm2_PzxfDFfzqxUKs2qijdWgGAF49DkliujbKO4AIU-qytZC8h5aYBV3NTcCAmSqhoUV6oqanGUvd_q9uO3DmqLn42m1X10nYl3Ohin_854t9HrcKPLkimpKhR4tROI4XqEIenODRba1ngI46C5LCnlvCo4oi__Qa_COPVtoooyp7nM1QO1Ni1o55uA79pJVM8LVTJaVbJE6mRLWWzgEKHZl8yongZETwOidwOC-Is_v7mHf48DAq-3wMb52vxw_ykHyEBjHmgmOJdS_ALh_8y3</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2467505459</pqid></control><display><type>article</type><title>The Importance of the Deep Deltoid Ligament Repair in Treating Supination-External Rotation Stage IV Ankle Fracture: A Comparative Retrospective Cohort Study</title><source>MEDLINE</source><source>PubMed Central Open Access</source><source>Wiley-Blackwell Open Access Titles</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Wu, Guangliang ; Li, Qidi ; Wang, Pengru ; Niu, Junke ; Li, Zhen ; Yang, Dongsong ; Chen, Hongfeng ; He, Xishun</creator><contributor>Zhang, Xiao Lei ; Xiao Lei Zhang</contributor><creatorcontrib>Wu, Guangliang ; Li, Qidi ; Wang, Pengru ; Niu, Junke ; Li, Zhen ; Yang, Dongsong ; Chen, Hongfeng ; He, Xishun ; Zhang, Xiao Lei ; Xiao Lei Zhang</creatorcontrib><description>Background. The necessity of the deep deltoid ligament repair in the treatment of supination-external rotation (SER) ankle stage IV fracture with deltoid ligament rupture is highly debated. We conducted this retrospective research aimed at exploring the curative effect of the deep deltoid ligament repair in treating SER fracture. Methods. Sixty-three patients with closed SER stage IV fractures received open reduction and internal fixation (ORIF), using either deep deltoid ligament repair (the DDLR group, 31 patients) or nondeep deltoid ligament repair (the NDDLR group, 32 patients). The radiographic parameters examined include the talocrural angle (TA), fibular length (FL), tibiomedial malleolar angle (TMMA), medial clear space (MCS), and tibiofibular clear space (TFCS). The functional performance parameters examined in the study were visual analog scale (VAS) pain score, American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot scales, and range of motion of bilateral ankles (RMBA). Complications, including bone nonunion, infection, and fragment displacement, were also recorded and compared. Results. Similar basic characteristics were found in both cohorts. All patients completed follow-up ranging from 12 to 22 months (mean time: 12.41±4.21 months). The DDLR group had significantly reduced VAS score (p<0.05), with markedly increased RMBA (p<0.05) compared to the NDDLR group. The two cohorts showed similar follow-up performance at 3 months (p>0.05), 6 months (p>0.05), and 12 months (p>0.05), in terms of parameters including TA, FL, TMMA, MCS, TCS, and AOFAS ankle-hindfoot scales. Conclusion. Although similar radiographic performances were achieved in both cohorts, the DDLR group displayed enhanced functional outcome postsurgery, indicating that DDLR may be a better potential for the treatment of SER stage IV fracture with deltoid ligament rupture.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2020/2043015</identifier><identifier>PMID: 33313312</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Adult ; Ankle ; Ankle Fractures - diagnostic imaging ; Ankle Fractures - surgery ; Ankle Joint - physiopathology ; Biomedical research ; Body mass index ; Cohort analysis ; Comparative analysis ; Complications ; Female ; Fracture Fixation, Internal ; Fractures ; Health aspects ; Humans ; Injuries ; Internal fixation in fractures ; Joint and ligament injuries ; Ligaments ; Ligaments - diagnostic imaging ; Ligaments - surgery ; Ligaments, Articular - physiopathology ; Male ; Methods ; Middle Aged ; Nonunion ; Orthopedics ; Pain ; Pain, Postoperative ; Parameters ; Patient outcomes ; Patients ; Range of Motion, Articular ; Repair ; Retrospective Studies ; Rotation ; Rupture ; Rupturing ; Statistical analysis ; Supination</subject><ispartof>BioMed research international, 2020, Vol.2020 (2020), p.1-8</ispartof><rights>Copyright © 2020 Hongfeng Chen et al.</rights><rights>COPYRIGHT 2020 John Wiley & Sons, Inc.</rights><rights>Copyright © 2020 Hongfeng Chen et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2020 Hongfeng Chen et al. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-882fc3e31612ef5c29a9cf923e9c291d84d3e527ae182ad2a34e409de929986d3</citedby><cites>FETCH-LOGICAL-c499t-882fc3e31612ef5c29a9cf923e9c291d84d3e527ae182ad2a34e409de929986d3</cites><orcidid>0000-0002-6801-8261</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7719498/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7719498/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4022,27922,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33313312$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Zhang, Xiao Lei</contributor><contributor>Xiao Lei Zhang</contributor><creatorcontrib>Wu, Guangliang</creatorcontrib><creatorcontrib>Li, Qidi</creatorcontrib><creatorcontrib>Wang, Pengru</creatorcontrib><creatorcontrib>Niu, Junke</creatorcontrib><creatorcontrib>Li, Zhen</creatorcontrib><creatorcontrib>Yang, Dongsong</creatorcontrib><creatorcontrib>Chen, Hongfeng</creatorcontrib><creatorcontrib>He, Xishun</creatorcontrib><title>The Importance of the Deep Deltoid Ligament Repair in Treating Supination-External Rotation Stage IV Ankle Fracture: A Comparative Retrospective Cohort Study</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Background. The necessity of the deep deltoid ligament repair in the treatment of supination-external rotation (SER) ankle stage IV fracture with deltoid ligament rupture is highly debated. We conducted this retrospective research aimed at exploring the curative effect of the deep deltoid ligament repair in treating SER fracture. Methods. Sixty-three patients with closed SER stage IV fractures received open reduction and internal fixation (ORIF), using either deep deltoid ligament repair (the DDLR group, 31 patients) or nondeep deltoid ligament repair (the NDDLR group, 32 patients). The radiographic parameters examined include the talocrural angle (TA), fibular length (FL), tibiomedial malleolar angle (TMMA), medial clear space (MCS), and tibiofibular clear space (TFCS). The functional performance parameters examined in the study were visual analog scale (VAS) pain score, American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot scales, and range of motion of bilateral ankles (RMBA). Complications, including bone nonunion, infection, and fragment displacement, were also recorded and compared. Results. Similar basic characteristics were found in both cohorts. All patients completed follow-up ranging from 12 to 22 months (mean time: 12.41±4.21 months). The DDLR group had significantly reduced VAS score (p<0.05), with markedly increased RMBA (p<0.05) compared to the NDDLR group. The two cohorts showed similar follow-up performance at 3 months (p>0.05), 6 months (p>0.05), and 12 months (p>0.05), in terms of parameters including TA, FL, TMMA, MCS, TCS, and AOFAS ankle-hindfoot scales. Conclusion. Although similar radiographic performances were achieved in both cohorts, the DDLR group displayed enhanced functional outcome postsurgery, indicating that DDLR may be a better potential for the treatment of SER stage IV fracture with deltoid ligament rupture.</description><subject>Adult</subject><subject>Ankle</subject><subject>Ankle Fractures - diagnostic imaging</subject><subject>Ankle Fractures - surgery</subject><subject>Ankle Joint - physiopathology</subject><subject>Biomedical research</subject><subject>Body mass index</subject><subject>Cohort analysis</subject><subject>Comparative analysis</subject><subject>Complications</subject><subject>Female</subject><subject>Fracture Fixation, Internal</subject><subject>Fractures</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Injuries</subject><subject>Internal fixation in fractures</subject><subject>Joint and ligament injuries</subject><subject>Ligaments</subject><subject>Ligaments - diagnostic imaging</subject><subject>Ligaments - surgery</subject><subject>Ligaments, Articular - physiopathology</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Nonunion</subject><subject>Orthopedics</subject><subject>Pain</subject><subject>Pain, Postoperative</subject><subject>Parameters</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Range of Motion, Articular</subject><subject>Repair</subject><subject>Retrospective Studies</subject><subject>Rotation</subject><subject>Rupture</subject><subject>Rupturing</subject><subject>Statistical analysis</subject><subject>Supination</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkk1v1DAQhiMEolXpjTOyxAWJLvgrH-aAtFpaqLQSUrtwtYwz2XVJ7NRxSvtj-K9MussWOOHDeDzz-PV4NFn2nNE3jOX5W045RSMFZfmj7JALJmcFk-zx3hfiIDsehiuKq2IFVcXT7EAIgQnGD7Ofqw2Q864PMRlvgYSGJIx8AOjRtCm4mizd2nTgE7mA3rhInCerCCY5vyaXY-88usHPTm8TRG9achHSfYRcJrNG9a9k7r-3QM6isWmM8I7MySJ0vYmI3QDKphiGHuz9aRE2WAzeHeu7Z9mTxrQDHO_2o-zL2elq8Wm2_PzxfDFfzqxUKs2qijdWgGAF49DkliujbKO4AIU-qytZC8h5aYBV3NTcCAmSqhoUV6oqanGUvd_q9uO3DmqLn42m1X10nYl3Ohin_854t9HrcKPLkimpKhR4tROI4XqEIenODRba1ngI46C5LCnlvCo4oi__Qa_COPVtoooyp7nM1QO1Ni1o55uA79pJVM8LVTJaVbJE6mRLWWzgEKHZl8yongZETwOidwOC-Is_v7mHf48DAq-3wMb52vxw_ykHyEBjHmgmOJdS_ALh_8y3</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Wu, Guangliang</creator><creator>Li, Qidi</creator><creator>Wang, Pengru</creator><creator>Niu, Junke</creator><creator>Li, Zhen</creator><creator>Yang, Dongsong</creator><creator>Chen, Hongfeng</creator><creator>He, Xishun</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6801-8261</orcidid></search><sort><creationdate>2020</creationdate><title>The Importance of the Deep Deltoid Ligament Repair in Treating Supination-External Rotation Stage IV Ankle Fracture: A Comparative Retrospective Cohort Study</title><author>Wu, Guangliang ; Li, Qidi ; Wang, Pengru ; Niu, Junke ; Li, Zhen ; Yang, Dongsong ; Chen, Hongfeng ; He, Xishun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-882fc3e31612ef5c29a9cf923e9c291d84d3e527ae182ad2a34e409de929986d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Ankle</topic><topic>Ankle Fractures - diagnostic imaging</topic><topic>Ankle Fractures - surgery</topic><topic>Ankle Joint - physiopathology</topic><topic>Biomedical research</topic><topic>Body mass index</topic><topic>Cohort analysis</topic><topic>Comparative analysis</topic><topic>Complications</topic><topic>Female</topic><topic>Fracture Fixation, Internal</topic><topic>Fractures</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Injuries</topic><topic>Internal fixation in fractures</topic><topic>Joint and ligament injuries</topic><topic>Ligaments</topic><topic>Ligaments - diagnostic imaging</topic><topic>Ligaments - surgery</topic><topic>Ligaments, Articular - physiopathology</topic><topic>Male</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Nonunion</topic><topic>Orthopedics</topic><topic>Pain</topic><topic>Pain, Postoperative</topic><topic>Parameters</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Range of Motion, Articular</topic><topic>Repair</topic><topic>Retrospective Studies</topic><topic>Rotation</topic><topic>Rupture</topic><topic>Rupturing</topic><topic>Statistical analysis</topic><topic>Supination</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Guangliang</creatorcontrib><creatorcontrib>Li, Qidi</creatorcontrib><creatorcontrib>Wang, Pengru</creatorcontrib><creatorcontrib>Niu, Junke</creatorcontrib><creatorcontrib>Li, Zhen</creatorcontrib><creatorcontrib>Yang, Dongsong</creatorcontrib><creatorcontrib>Chen, Hongfeng</creatorcontrib><creatorcontrib>He, Xishun</creatorcontrib><collection>الدوريات العلمية والإحصائية - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Guangliang</au><au>Li, Qidi</au><au>Wang, Pengru</au><au>Niu, Junke</au><au>Li, Zhen</au><au>Yang, Dongsong</au><au>Chen, Hongfeng</au><au>He, Xishun</au><au>Zhang, Xiao Lei</au><au>Xiao Lei Zhang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Importance of the Deep Deltoid Ligament Repair in Treating Supination-External Rotation Stage IV Ankle Fracture: A Comparative Retrospective Cohort Study</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2020</date><risdate>2020</risdate><volume>2020</volume><issue>2020</issue><spage>1</spage><epage>8</epage><pages>1-8</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Background. The necessity of the deep deltoid ligament repair in the treatment of supination-external rotation (SER) ankle stage IV fracture with deltoid ligament rupture is highly debated. We conducted this retrospective research aimed at exploring the curative effect of the deep deltoid ligament repair in treating SER fracture. Methods. Sixty-three patients with closed SER stage IV fractures received open reduction and internal fixation (ORIF), using either deep deltoid ligament repair (the DDLR group, 31 patients) or nondeep deltoid ligament repair (the NDDLR group, 32 patients). The radiographic parameters examined include the talocrural angle (TA), fibular length (FL), tibiomedial malleolar angle (TMMA), medial clear space (MCS), and tibiofibular clear space (TFCS). The functional performance parameters examined in the study were visual analog scale (VAS) pain score, American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot scales, and range of motion of bilateral ankles (RMBA). Complications, including bone nonunion, infection, and fragment displacement, were also recorded and compared. Results. Similar basic characteristics were found in both cohorts. All patients completed follow-up ranging from 12 to 22 months (mean time: 12.41±4.21 months). The DDLR group had significantly reduced VAS score (p<0.05), with markedly increased RMBA (p<0.05) compared to the NDDLR group. The two cohorts showed similar follow-up performance at 3 months (p>0.05), 6 months (p>0.05), and 12 months (p>0.05), in terms of parameters including TA, FL, TMMA, MCS, TCS, and AOFAS ankle-hindfoot scales. Conclusion. Although similar radiographic performances were achieved in both cohorts, the DDLR group displayed enhanced functional outcome postsurgery, indicating that DDLR may be a better potential for the treatment of SER stage IV fracture with deltoid ligament rupture.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>33313312</pmid><doi>10.1155/2020/2043015</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6801-8261</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Ankle Ankle Fractures - diagnostic imaging Ankle Fractures - surgery Ankle Joint - physiopathology Biomedical research Body mass index Cohort analysis Comparative analysis Complications Female Fracture Fixation, Internal Fractures Health aspects Humans Injuries Internal fixation in fractures Joint and ligament injuries Ligaments Ligaments - diagnostic imaging Ligaments - surgery Ligaments, Articular - physiopathology Male Methods Middle Aged Nonunion Orthopedics Pain Pain, Postoperative Parameters Patient outcomes Patients Range of Motion, Articular Repair Retrospective Studies Rotation Rupture Rupturing Statistical analysis Supination |
| title | The Importance of the Deep Deltoid Ligament Repair in Treating Supination-External Rotation Stage IV Ankle Fracture: A Comparative Retrospective Cohort Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T03%3A08%3A51IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Importance%20of%20the%20Deep%20Deltoid%20Ligament%20Repair%20in%20Treating%20Supination-External%20Rotation%20Stage%20IV%20Ankle%20Fracture:%20A%20Comparative%20Retrospective%20Cohort%20Study&rft.jtitle=BioMed%20research%20international&rft.au=Wu,%20Guangliang&rft.date=2020&rft.volume=2020&rft.issue=2020&rft.spage=1&rft.epage=8&rft.pages=1-8&rft.issn=2314-6133&rft.eissn=2314-6141&rft_id=info:doi/10.1155/2020/2043015&rft_dat=%3Cgale_pubme%3EA697108847%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2467505459&rft_id=info:pmid/33313312&rft_galeid=A697108847&rfr_iscdi=true |