ArticleArchives of orthopaedic and trauma surgery2022
Ankle fractures involving the posterior malleolus: patient characteristics and 7-year results in 100 cases.
Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Classifications of posterior malleolar fractures: a systematic literature review.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Influence of Patient-Reported Outcome Measures by Surgical Versus Conservative Management in Adult Ankle Fractures: A Systematic Review and Meta-Analysis.Medicina (Kaunas, Lithuania) · 2023Pooled it
- [Established classification systems of posterior malleolar fractures : A systematic literature review].Unfallchirurgie (Heidelberg, Germany) · 2023Pooled it
- [Injuries of the tibiofibular syndesmosis].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Clinical and radiological outcomes of surgical treatment using a posterolateral approach based on computed tomography-based fracture morphology in posterior malleolar fractures: A single-center retrospective analysis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Influence of posterior malleolar fragment size on clinical function and spatiotemporal gait parameters in trimalleolar ankle fractures.BMC surgery · 2026Article
- Posterior Malleolar Fragment Size as a Predictor of Ligamentous Injuries in Trimalleolar and Quadrimalleolar Ankle Fractures: A Novel Correlative Cohort Study in a South Indian Population.Foot & ankle orthopaedics · 2026Article
- Plate versus screw fixation and long-term ankle osteoarthritis in posterior malleolar fractures: A Bartoníček-based cohort study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- [Clinical study on reduction of posterior malleolar fractures via modified Rammelt transfibular approach].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Clinical Outcomes Following Posterior Malleolus Fixation in Trimalleolar Ankle Fractures: A Prospective Study.Malaysian orthopaedic journal · 2025Article
- Radiology and clinical prognosis of posterior malleolar fractures with different Step-off levels.BMC musculoskeletal disorders · 2025Article
- Posterior Inferior Tibiofibular Ligament Periosteal Sleeve Avulsion: New Classification for Posterior Malleolar Fracture of the Ankle.Clinics in orthopedic surgery · 2025Article
- Morphology of occult posterior malleolus fractures associated with tibial shaft fractures.Bone & joint open · 2025Article
- 2B or not 2B, should this not be the question? Comparison of 3D Surface Rendering CT to Plain Radiographs for Characterization of Posterior Malleolar Fracture Morphology.Foot & ankle orthopaedics · 2025Article
- Tibialis posterior tendon entrapment in posterior malleolar and pilon injuries of the ankle: a retrospective analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Importance of computed tomography in posterior malleolar fractures: Added information to preoperative X-ray studies.World journal of orthopedics · 2023Article
- Two-staged management of ankle fracture-dislocations with a posterior fragment: computer-tomography-based classification, treatment and its outcome.Archives of orthopaedic and trauma surgery · 2023Article
- Complications following surgical treatment of posterior malleolar fractures: an analysis of 300 cases.Archives of orthopaedic and trauma surgery · 2023Article
- Intercalary fragments in posterior malleolar fractures: incidence, treatment implications, and distribution within CT-based classification systems.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Ankle fractures involving the anterolateral distal tibia: medium-term clinical results of 50 cases.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe presence of a posterior malleolar (PM) fragment has a negative prognostic impact in ankle fractures. The best treatment is still subject to debate. The aim of this study was to assess the medium-to-long-term clinical and functional outcome of ankle fractures with a PM fragment in a larger patient population. MATERIALS AND
methodsOne hundred patients (69 women, 31 men, average age 60 years) with ankle fractures including the PM were evaluated clinically and radiographically. Patients with Bartoníček-Rammelt type 3 and 4 fracture displayed a significant female preponderance. Fixation of the PM was performed in 63% and tailored to the individual fracture pattern.
resultsInternal fixation of the PM fragment was negatively correlated with the need for syndesmotic screw placement at the time of surgery (p = 0.010). At an average follow-up of 7.0 years, the mean Foot Function Index (FFI) was 16.5 (SD: 21.5), the Olerud Molander Ankle Score (OMAS) averaged 80.2 (SD: 24) and the American Orthopedic Foot & Ankle Society (AOFAS) ankle/hindfoot score averaged 87.5 (SD: 19.1). The maximum score of 100 was achieved by 44% of patients. The physical (PCS) and mental health component summary (MCS) scores of the SF-36 averaged 47.7 (SD: 12.51) and 50.5 (SD: 9.36), respectively. Range of motion was within 3.4 (SD: 6.63) degrees of the uninjured side. The size of the PM fragment had no prognostic value. There was a trend to lower outcome scores with slight anterior or posterior shift of the distal fibula within the tibial incisura. Patients who underwent primary internal fixation had significantly superior SF-36 MCS than patients who underwent staged internal fixation (p = 0.031).
conclusionsWith an individualized treatment protocol, tailored to the CT-based assessment of PM fractures, favorable medium and long-term results can be expected.
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