Evidence map›Paper›PMID 25854498›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016

Medial malleolar osteotomy for the treatment of talar osteochondral lesions: anatomical and morbidity considerations.

André Leumann, Monika Horisberger, Olaf Buettner, Magdalena Mueller-Gerbl, Victor Valderrabano

Abstract read
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In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Limitations of accessibility of the talar dome with different open surgical approaches.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
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  8. Comparison of two versus three-screw fixation for biplanar chevron medial malleolar osteotomy.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
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  15. Visualization of the distal tibial plafond articular surface using four established approaches and the efficacy of instrumented distraction: a cadaveric study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

André LeumannOrthopaedic Department, University Hospital of Basel, Spitalstrasse 21, 4031, Basel, Switzerland. aleumann@uhbs.ch.
Monika HorisbergerOrthopaedic Department, University Hospital of Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Olaf BuettnerOrthopaedic Department, University Hospital of Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Magdalena Mueller-GerblDepartment of Anatomy, University of Basel, Basel, Switzerland.
Victor ValderrabanoOrthopaedic Department, University Hospital of Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
University Hospital of Basel · CHUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOsteochondral lesions of the talus are often located posteromedially requiring open surgery to facilitate solid and complete osteochondral reconstruction. The aim of the study was to identify the optimal anatomical site for medial malleolar osteotomy based on the criteria of minimal cartilage damage (Study I) and to report on the morbidity in patients receiving osteotomy performed at the previously identified site (Study II).

methodsFor Study I, cartilage coverage of the tibiofibular ankle joint facet was measured in 40 cadaveric ankles (20 cadaver specimens). In Study II, we assessed clinical (VAS pain score, AOFAS score, range of motion) and radiological outcome measures (SPECT-CT) in 17 patients (mean age, 36.8 ± 10.8 years) undergoing medial malleolar osteotomy.

resultsThe medial edge in the transition zone of the tibial plafond to the medial malleolus showed less than 75 % of cartilage coverage in 62.5 % of cadavers (Study I). Surgery resulted in lower pain levels (2.4 ± 2.6 compared with 6.3 ± 1.8 points; p < 0.001) and greater AOFAS scores (82.9 ± 14.1 compared with 43.5 ± 10.8 to points; p < 0.001) compared with baseline (Study II). No signs of intra-operative damage or mal- or non-union were found. Long-term morbidity was found in one patient. Implant removal was necessary in 12 of 17 patients (71 %).

conclusionAnatomically, there is an optimal location for the medial malleolar osteotomy at the medial ankle edge involving minimal cartilage damage. Clinical results using this location showed no short- or mid-term morbidity and little long-term morbidity. However, many patients required re-intervention for implant removal. LEVEL OF EVIDENCE: IV.

Indexed as

AdultAgedAged, 80 and overAnkle InjuriesAnkle JointCartilage, ArticularFemaleFollow-Up StudiesHumansMaleMiddle AgedOsteotomyTalusTreatment OutcomeCartilageMedial malleolar osteotomyMorbidityOsteochondralTalus

Identifiers

PMID25854498
OpenAlexW2016535541

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.