ReviewEFORT open reviews2021
Current management of trimalleolar ankle fractures.
Review in EFORT open reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
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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.
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Who cites it
25 citing papers in PubMed.
- Percutaneous versus open cannulated screws fixation for displaced isolated medial malleolar fractures in adults: a randomized controlled clinical trial.Archives of orthopaedic and trauma surgery · 2025Trial
- Analysis of the Effect of Posterior Lateral Malleolus Plate Fixation on the Curative Effect and Mechanical Stability of Complex Ankle Fractures.Contrast media & molecular imaging · 2022Trial
- Comparison of screw and suture-button techniques in the treatment of ankle syndesmotic injuries.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- [Preoperative application effect of reverse traction technique in trimalleolar fracture-dislocation of ankle].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Advancements in the diagnosis and management of complex trimalleolar ankle fractures: A comprehensive review.World journal of orthopedics · 2026Review
- Integrating Quadrimalleolar Fractures of the Ankle in a Johannesburg Academic Center: A New Classification.Cureus · 2026Article
- Management of Ipsilateral Tibia and Fibula Shaft Fracture with Trimalleolar Fracture: A Rare Case Report.Journal of orthopaedic case reports · 2025Article
- Early Surgery Reduces Infection Risk and Length of Hospital Stay in Closed Ankle Fractures: A Retrospective Cohort Study.Journal of clinical medicine · 2025Article
- Review
- Peripheral Neuromodulation and Opioid Sparing Strategies for Mitigating Perioperative Pain in the Stabilization and Hardware Removal of Complex Trimalleolar Fractures: A Case Report.Clinical case reports · 2025Article
- Swollen Ankle Fractures: What Predicts Delays in Definitive Fixation?Journal of clinical practice and research · 2025Article
- Internal fixation with biodegradable high purity magnesium screws in the treatment of ankle fracture.Journal of orthopaedic translation · 2025Article
- A novel alphanumeric classification system for ankle fractures: clinical applications and evaluation.Journal of orthopaedic surgery and research · 2025Article
- Enhanced Recovery After Surgery (ERAS) Rehabilitation Protocols Significantly Improve Postoperative Pain and Recovery in Ankle Fracture Surgery.Therapeutics and clinical risk management · 2025Article
- Review
- Inpatient or Outpatient: Does Initial Disposition Affect Outcomes in Trimalleolar Ankle Fractures?Cureus · 2024Article
- Standardized analysis of syndesmosis stability in ankle trauma with an innovative syndesmosis-test-tool: a biomechanical study.Scientific reports · 2024Article
- Operative treatment results of posterior malleolar fractures in trimalleolar fractures with screw fixation and plate fixation: short-term results.International journal of burns and trauma · 2024Article
- Inducing a Closed Ankle Fracture in a Cadaveric Model to Create Interdisciplinary Teaching Models for Preclinical Medical Students.Medical science educator · 2023Article
- Treatment strategies for complex ankle fractures-current developments summarized in a narrative review.Annals of translational medicine · 2023Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A trimalleolar ankle fracture is considered unstable and treatment is generally performed operatively. Computed tomography is important for the operative planning by providing an elaborated view of the posterior malleolus.Trimalleolar ankle fractures have a rising incidence in the last decade with up to 40 per 100,000 people per year. With a growing number of elderly patients, trimalleolar ankle injuries will become more relevant in the form of fragility fractures, posing a particular challenge for trauma surgeons.In patients with osteoporotic trimalleolar ankle fractures and relevant concomitant conditions, further evidence is awaited to specify indications for open reduction and internal fixation or primary transfixation of the ankle joint.In younger, more demanding patients, arthroscopic-assisted surgery might improve the outcome, but future research is required to identify patients who will benefit from assisted surgical care.This review considers current scientific findings regarding all three malleoli to understand the complexity of trimalleolar ankle injuries and provide the reader with an overview of treatment strategies and research, as well as future perspectives. Cite this article:
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