ReviewInternational orthopaedics2019
High-energy tibial pilon fractures: an instructional review.
Review in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
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.
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.
Who cites it
38 citing papers in PubMed, 88 citations in OpenAlex.
- 3D printing technology combined with personalized plates for complex distal intra-articular fractures of the trimalleolar ankle.Scientific reports · 2023Trial
- Current Advancements in Bone Grafting Substitutes for Osteoporotic Distal Tibia Fractures: A Narrative Review of Beta-Tricalcium Phosphate (Neobone™) and Demineralized Bone Matrix.Medicina (Kaunas, Lithuania) · 2026Review
- Surgical wound complications in ankle ORIF patients: a predictive analysis on a single-center retrospective cohort of 287 patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Joint-preserving corrective reconstruction strategy for malunions of tibial pilon fractures in young patients.International orthopaedics · 2026Article
- Body Mass Index and Outcomes After Pilon Fracture Fixation: A Retrospective Cohort Study.Foot & ankle orthopaedics · 2025Article
- Swollen Ankle Fractures: What Predicts Delays in Definitive Fixation?Journal of clinical practice and research · 2025Article
- Fracture Line Morphology and a Novel Classification of Pilon Fractures.Orthopaedic surgery · 2025Article
- Symmetry of the left and right tibial plafond; a comparison of 75 distal tibia pairs.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Optimal biomechanical choice of implant placement in various pilon fracture types: a finite element study.BMC musculoskeletal disorders · 2024Article
- A pilot prospective study of forward-looking infrared (FLIR) camera measurements to predict postoperative wound complications in high-energy lower extremity fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- The Clinical Application of Double Taylor Spatial Frame in Segmental Tibial Fracture.Orthopaedic surgery · 2024Article
- Potential Roles of Inflammation on Post-Traumatic Osteoarthritis of the Ankle.International journal of molecular sciences · 2024Review
- Serum caspase‑1 levels serve as a predictive biomarker for the prognosis of patients undergoing arthroscopic‑assisted locking plate internal fixation in the treatment of high‑energy pilon fractures.Experimental and therapeutic medicine · 2024Article
- Three-Dimensional Heat Map: The OTA/AO Type 43C Pilon Fracture Lines Distribution.International journal of general medicine · 2024Article
- Progress of fracture mapping technology based on CT three-dimensional reconstruction.Frontiers in bioengineering and biotechnology · 2024Review
- EPIDEMIOLOGICAL PROFILE OF PATIENTS WITH ANKLE FRACTURE TREATED IN A TERTIARY LEVEL HOSPITAL.Acta ortopedica brasileira · 2024Article
- Pathological progress and remission strategies of osteoarthritic lesions caused by long-term joint immobilization.Arthritis research & therapy · 2023Article
- Treatment strategies for complex ankle fractures-current developments summarized in a narrative review.Annals of translational medicine · 2023Review
- Article
- Morbidities and prognostic factors after tibial pilon fracture: impact on patients.Archives of orthopaedic and trauma surgery · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
High-energy tibial pilon fractures continue to represent a significant challenge to the treating orthopaedic surgeon. Pre-operative evaluation includes a careful clinical assessment of the associated soft tissue injury, which frequently dictates surgical management. Staged surgical reconstruction remains the standard treatment protocol at most trauma centres. This includes application of a temporary spanning external fixator for approximately one to four weeks, followed by open reduction and internal fixation once the surrounding soft tissues are amendable. Despite careful soft tissue management protocols, the risk of wound complications continues to be relatively high compared to other orthopaedic trauma procedures. The functional long-term outcomes of these injuries remain limited, and recent data has emphasised that the majority of patients do not regain their pre-operative work status. In addition, the health-related quality of life scores fare poorly when compared to other orthopaedic and non-orthopaedic patient populations, and many patients develop post-traumatic arthritis within the tibiotalar joint. It has been shown that the quality of fracture reduction may significantly correlate with the long-term functional outcomes. While the orthopaedic community has come a long way with regard to safe management of high-energy tibial pilon fractures, the clinical outcomes continue to remain limited. In particular, the persistently high rates of wound complications and the limited functional long-term outcomes leave significant room for improvement. Future investigators may focus on further innovations to minimise the risk of wound complications. The surgical team may emphasise the quality of fracture reduction as an important treatment goal.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.