Evidence map›Paper›PMID 29887623›Full record

ArticleIndian journal of orthopaedics

Calcaneal Fractures - Should We or Should We not Operate?

Stefan Rammelt, Bruce J Sangeorzan, Michael P Swords

Abstract read
In one paragraph

Article in Indian journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Percutaneous screw osteosynthesis for the treatment of intra-articular displaced calcaneus fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Pooled it
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  6. Bibliometric Analysis of Highly-Cited Papers ofIndian journal of orthopaedics · 2026
    Review
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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

3 authors at 3 institutions in 2 countries.

Stefan RammeltUniversity Center for Orthopaedics and Traumatology, University Hospital Carl-Gustav Carus, Dresden, Germany.
Bruce J SangeorzanDepartment of Orthopedics and Sports Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA.
Michael P SwordsMichigan Orthopedic Center, Sparrow Hospital, Lansing, MI, USA.
Sparrow Hospital · USUniversity Hospital Carl Gustav Carus · DEUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The best treatment for displaced, intraarticular fractures of the calcaneum remains controversial. Surgical treatment of these injuries is challenging and have a considerable learning curve. Studies comparing operative with nonoperative treatment including randomized trials and meta-analyses are fraught with a considerable number of confounders including highly variable fracture patterns, soft-tissue conditions, patient characteristics, surgeon experience, limited sensitivity of outcome measures, and rehabilitation protocols. It has become apparent that there is no single treatment that is suitable for all calcaneal fractures. Treatment should be tailored to the individual fracture pathoanatomy, accompanying soft-tissue damage, associated injuries, functional demand, and comorbidities of the patient. If operative treatment is chosen, reconstruction of the overall shape of the calcaneum and joint surfaces are of utmost importance to obtain a good functional result. Despite meticulous reconstruction, primary cartilage damage due to the impact at the time of injury may lead to posttraumatic subtalar arthritis. Even if subtalar fusion becomes necessary, patients benefit from primary anatomical reconstruction of the hindfoot geometry because

Indexed as

Arthritisbonecalcaneal fractureCalcaneusfracture fixationfracturesinternal fixationmalunionnonoperative treatmentsubtalar joint

Identifiers

PMID29887623
PMCPMC5961258
OpenAlexW2800249889

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.