ArticleBMC musculoskeletal disorders2020
Classification and treatment of lateral malleolar fractures - a single-center analysis of 439 ankle fractures using the Swedish Fracture Register.
Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Cast immobilisation versus surgery for unstable lateral malleolus fractures (SUPER-FIN): randomised non-inferiority clinical trial.BMJ (Clinical research ed.) · 2026Trial
- Is 2-week Cast Wearing Followed by 4-week Functional Bracing Superior to 6-week Cast Immobilization After Surgery for Ankle Fractures? A 2-year Follow-up of a Randomized Controlled Trial.Clinical orthopaedics and related research · 2025Trial
- Fractures of the lateral malleolus - a retrospective before-and-after study of treatment and resource utilization following the implementation of a structured treatment algorithm.BMC musculoskeletal disorders · 2022Trial
- Deriving the OTA/AO fracture classification from routinely collected radiology reports using a large language model.OTA international : the open access journal of orthopaedic trauma · 2026Article
- An Acta Orthopaedica educational article: Weightbearing assessment to guide nonoperative treatment of lateral malleolar fractures: the paradigm change.Acta orthopaedica · 2025Review
- Non-surgical treatment of lateral malleolar fractures is safe: long-term follow-up of a comprehensive treatment algorithm.BMC musculoskeletal disorders · 2024Article
- External validation of an artificial intelligence multi-label deep learning model capable of ankle fracture classification.BMC musculoskeletal disorders · 2024Observational
- Article
- Incidence and Risk Factors for Surgical Site Infection in Ankle Fractures: An Observational Study of 480 Patients in Sweden.Journal of clinical medicine · 2023Article
- Epidemiology of more than 50,000 ankle fractures in the Swedish Fracture Register during a period of 10 years.Journal of orthopaedic surgery and research · 2023Article
- Epidemiology, classification and treatment of olecranon fractures in adults: an observational study on 2462 fractures from the Swedish Fracture Register.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- The Swedish Fracture Register - ten years of experience and 600,000 fractures collected in a National Quality Register.BMC musculoskeletal disorders · 2022Article
- Does the Covid-19 pandemic affect ankle fracture incidence? Moderate decrease in Sweden.Acta orthopaedica · 2021Observational
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe decision regarding which trans syndesmotic ankle fractures to treat surgically and which to treat non-surgically is a matter of debate. The aim of this study was to describe the epidemiology of ankle fractures treated at Sahlgrenska University Hospital (SU) during a 2-year period and analyze the current diagnostic process, classification and choice of treatment for lateral malleolar fractures at the level of the syndesmosis.
methodsObservational data regarding all ankle fractures treated at SU between 1 April 2012 and 31 March 2014 was collected from the Swedish Fracture Register. For identified AO/OTA44-B1 fractures, medical records and radiographs were reviewed and analyzed.
resultsThe study included 1332 ankle fractures. 838 (63%) were B-fractures and 512 (38%) of these were B1 fractures. 439 of the patients with B1 fractures were included in the detailed study and of these 309 (70%) were treated non-surgically and 130 patients (30%) surgically. According to the preoperative physical examination described in the medical records, medial tenderness was found in 73 (24%) of the non-surgically treated patients. Among the surgically treated patients 18% (n = 24) were found to have no medial tenderness. For the non-surgically treated patients with medial tenderness, the treatment plan was changed to surgical treatment after the 1-week radiographic follow-up in 1 patient (1%) and 1 patient (1%) was treated surgically after 3 months due to non-union.
conclusionsThe current study demonstrates the difficulty involved in distinguishing whether or not a trans-syndesmotic lateral malleolar fracture has an associated medial ligament injury or not. As this distinguishes if the fracture is stable or not it affects the choice of subsequent treatment. The results of the study also indicate a lack of consensus on how to classify and treat lateral malleolar fractures at the level of the syndesmosis. The study further suggests that there is no need to check non-surgically treated stable fractures with follow-up radiographic examination at 1 week.
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