Evidence map›Paper›PMID 25927626›Full record

Trial reportTrials2015

Weight bearing or non-weight bearing after surgically fixed ankle fractures, the WOW! Study: study protocol for a randomized controlled trial.

Jan Paul Briet, Roderick M Houwert, Diederik P J Smeeing, Janity S Pawiroredjo, Johannes C Kelder, Koen W Lansink, Luke P H Leenen, Peer van der Zwaal, Stephan W A M van Zutphen, Jochem M Hoogendoorn and 5 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Rehabilitation for ankle fractures in adults.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. How to assess applicability and methodological quality of comparative studies of operative interventions in orthopedic trauma surgery.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Pooled it
  4. Weight-bearing or non-weight-bearing after surgical treatment of ankle fractures: a multicenter randomized controlled trial.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020
    Trial
  5. Article
  6. Article
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

15 authors at 5 institutions in 1 country.

Jan Paul BrietDepartment of Surgery, Diakonessenhuis Utrecht, Bosboomstraat 1, Postbus 80250, 3508 TG, Utrecht, The Netherlands. jp.briet@gmail.com.
Roderick M HouwertUtrecht Traumacenter, Utrecht, The Netherlands. marijnhouwert@hotmail.com.
Diederik P J SmeeingDepartment of Surgery, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands. diederiksmeeing@hotmail.com.
Janity S PawiroredjoDepartment of Surgery, St. Antonius Hospital Nieuwegein, Postbus 2500, 3430 EM, Nieuwegein, The Netherlands. j.pawiroredjo@hotmail.com.
Johannes C KelderDepartment of Epidemiology, St. Antonius Hospital Nieuwegein, Postbus 2500, 3430 EM, Nieuwegein, The Netherlands. keld01@antoniusziekenhuis.nl.
Koen W LansinkDepartment of Surgery, St Elisabeth Hospital, Hilvarenbeekseweg 60, 5022 GC, Tilburg, The Netherlands. k.lansink@elisabeth.nl.
Luke P H LeenenDepartment of Surgery, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands. lleenen@umcutrecht.nl.
Peer van der ZwaalDepartment of Orthopaedics, Medisch Centrum Haaglanden, Lijnbaan 32, Postbus 432, 2512 VA, Den Haag, The Netherlands. peerzwaal@hotmail.com.
Stephan W A M van ZutphenDepartment of Surgery, Twee Steden Ziekenhuis Doctor, Deelenlaan 5, 5042AD, Tilburg, The Netherlands. s.v.zuthpen@elisabeth.nl.
Jochem M HoogendoornDepartment of Surgery, Medisch Centrum Haaglanden, Lijnbaan 32, Postbus 432, 2512 VA, Den Haag, The Netherlands. j.hoogendoorn@mchaaglanden.nl.
Mark van HeijlDepartment of Surgery, Diakonessenhuis Utrecht, Bosboomstraat 1, Postbus 80250, 3508 TG, Utrecht, The Netherlands. markvanheijl@gmail.com.
Egbert J M M VerleisdonkDepartment of Surgery, Diakonessenhuis Utrecht, Bosboomstraat 1, Postbus 80250, 3508 TG, Utrecht, The Netherlands. ejverlei@diakhuis.nl.
Guus W van LammerenDepartment of Surgery, St. Antonius Hospital Nieuwegein, Postbus 2500, 3430 EM, Nieuwegein, The Netherlands. g.van.lammeren@antoniusziekenhuis.nl.
Michiel J SegersDepartment of Surgery, St. Antonius Hospital Nieuwegein, Postbus 2500, 3430 EM, Nieuwegein, The Netherlands. m.segers@antoniusziekenhuis.nl.
Falco HietbrinkDepartment of Surgery, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands. f.hietbrink@hotmail.com.
St. Antonius Ziekenhuis · NLDiakonessenhuis hospital · NLUniversity Medical Center Utrecht · NLElisabeth-TweeSteden Ziekenhuis · NLMedisch Centrum Haaglanden · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal post-operative care regimen after surgically fixed Lauge Hansen supination exorotation injuries remains to be established. This study compares whether unprotected weight bearing as tolerated is superior to protected weight bearing and unprotected non-weight bearing in terms of functional outcome and safety. METHODS/

designThe WOW! Study is a prospective multicenter clinical trial. Patients between 18 and 65 years of age with a Lauge Hansen supination exorotation type 2, 3 or 4 ankle fractures requiring surgical treatment are eligible for inclusion. An expert panel validates the classification and inclusion eligibility. After surgery, patients are randomized to either the 1) unprotected non-weight-bearing, 2) protected weight-bearing, or 3) unprotected weight-bearing group. The primary outcome measure is ankle-specific disability measured by the Olerud-Molander ankle score. Secondary outcomes are 1) quality of life (e.g., return to work and resumption of sport), 2) complications, 3) range of motion, 4) calf wasting, and 5) maximum pressure load after 3 months and 1 year. DISCUSSION: This trial is designed to compare the effectiveness and safety of unprotected weight bearing with two commonly used post-operative treatment regimens after internal fixation of specified, intrinsically stable but displaced ankle fractures. An expert panel has been established to evaluate every potential subject, which ensures that every patient is strictly screened according to the inclusion and exclusion criteria and that there is a clear indication for surgical fixation.

trial registrationThe WOW! Study is registered in the Dutch Trial Register ( NTR3727 ). Date of registration: 28-11-2012.

Indexed as

Casts, SurgicalCrutchesFracture Fixation, InternalPhysical Therapy ModalitiesPostoperative CareAdolescentAdultAgedAnkle FracturesAnkle JointBiomechanical PhenomenaClinical ProtocolsCombined Modality TherapyDisability EvaluationFemaleHumans

Identifiers

PMID25927626
PMCPMC4433015
OpenAlexW2047035431

What OpenQuestion holds

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LicenceCC BY
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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.