ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2019
Negative prognostic factors in surgical treatment for trimalleolar fractures.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Classifications of posterior malleolar fractures: a systematic literature review.Archives of orthopaedic and trauma surgery · 2023Pooled it
- OUTCOMES AFTER UNSTABLE FRACTURES OF THE ANKLE: WHAT'S NEW? A SYSTEMATIC REVIEW.Orthopedic reviews · 2022Pooled it
- Fear of reinjury is associated with failure to return to preinjury level of activity after operative repair of ankle fractures.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Tibiotalocalcaneal arthrodesis versus open reduction and internal fixation in treatment of trimalleolar ankle fractures: A propensity-matched TriNetX database study.Journal of clinical orthopaedics and trauma · 2026Article
- Weber Classification Does Not Correlate with PROMIS Outcome Measures.Foot & ankle orthopaedics · 2026Article
- Primary Ankle Fracture Dislocation Is Not a Negative Prognostic Factor for the Surgical Treatment of Syndesmotic Injury-A Retrospective Analysis of 246 Patients.Journal of clinical medicine · 2025Article
- Complications following surgical treatment of posterior malleolar fractures: an analysis of 300 cases.Archives of orthopaedic and trauma surgery · 2023Article
- Short and Middle Functional Outcome in the Static vs. Dynamic Fixation of Syndesmotic Injuries in Ankle Fractures: A Retrospective Case Series Study.Journal of clinical medicine · 2023Article
- Ankle CT scan allows better management of posterior malleolus fractures than X-rays.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Clinical assessments and gait analysis for patients with Trimalleolar fractures in the early postoperative period.BMC musculoskeletal disorders · 2022Article
- Increasing age and modifiable comorbidities are associated with short-term complications after open reduction and internal fixation of ankle fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Complications after fibula intramedullary nail fixation of pilon versus ankle fractures.Journal of clinical orthopaedics and trauma · 2021Article
- Classification and treatment of lateral malleolar fractures - a single-center analysis of 439 ankle fractures using the Swedish Fracture Register.BMC musculoskeletal disorders · 2020Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTrimalleolar fractures are a common injury of the ankle that require surgical treatment to obtain an anatomic reduction of both malleoli and stabilization of the syndesmosis. This study aims to report the outcomes of surgical treatment for trimalleolar fractures, identifying the risk factors determining a worse result. MATERIALS AND
methodsBetween January 2013 and December 2016, 48 patients with trimalleolar fracture treated with open reduction and internal fixation were retrospectively analyzed. The mean age was 44.69 years, and average body mass index (BMI) was 29.04. According to the Danis-Weber classification, 30 (62.5%) fractures were type B and 18 (37.5%) were type C. Clinical and radiographic evaluations at 3, 6, and 12 months were assessed. The functional results of Visual Analogue Staircases and Olerud-Molander (O&M) ankle score were reported.
resultsNo significant difference was found among the size of the PM in patients with and without ankle dislocation (p = 0.364). Therefore, there is no correlation between the size of the posterior fragment and the ankle dislocation and the size of the posterior malleolus and syndesmosis stability (p = 0.328). Age over 61 years, BMI > 40, ASA > 1, type C fracture, and fracture dislocation were considered as negative prognostic fractures.
conclusionsSurgical treatment for trimalleolar fractures needs accurate preoperative planning. Age over 61 years, BMI > 40, ASA > 1, type C fracture, and fracture dislocation were considered as negative prognostic fractures.
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