Evidence map›Paper›PMID 34649545›Full record

ArticleBMC musculoskeletal disorders2021

Quality of life and complications in elderly patients after pronation rotation type III ankle fractures treated with a cast and early weight-bearing.

Alejandro Lorente, Antonio Gandía, Gonzalo Mariscal, Pablo Palacios, Rafael Lorente

Open access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 23% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. An overview on the management of ankle fractures in elderly patients aged 65 and over: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Alejandro LorenteDepartment of Traumatology and Orthopaedic Surgery, University Hospital Ramón y Cajal, M-607, km. 9, 100, 28034, Madrid, Spain.
Antonio GandíaDepartment of Traumatology and Orthopaedic Surgery, University Hospital Ramón y Cajal, M-607, km. 9, 100, 28034, Madrid, Spain.
Gonzalo MariscalInstitute for Research on Musculoskeletal Disorders, School of Medicine, Valencia Catholic University, 46001, Valencia, Spain.
Pablo PalaciosDepartment of Traumatology and Orthopaedic Surgery, University Hospital Madrid Sanchinarro, Calle de Oña, 10, 28050, Madrid, Spain.
Rafael LorenteDepartment of Orthopedic Surgery and Traumatology, University Hospital of Badajoz, Av. de Elvas, s/n, 06080, Badajoz, Spain. rafaalelorente@hotmail.com.
Hospital Universitario Ramón y Cajal · ESCentro de Implantología Cirugía Oral y Maxilofacial · ESHospital Universitario HM Sanchinarro · ESValencia Catholic University Saint Vincent Martyr · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly weight-bearing is becoming increasingly common because it can positively affect the quality of life of patients. Therefore, the efficacy and safety of this conservative treatment should be assessed for different types of ankle fractures. The goal of this study was to compare early weight-bearing and non-weight-bearing in terms of effectiveness and safety in patients with pronation rotation type III ankle fractures treated nonsurgically.

methodsA prospective multicenter cohort study was conducted over two years. Elderly patients with a nondisplaced pronation rotation type III ankle fracture were included. The main variables were the Barthel Index and SF-12 scores. The patients completed the questionnaires at six weeks, one year and two years. We also compared the complications associated with the two interventions.

results30 patients were included in the weight-bearing group, while 32 patients were included in the non-weight-bearing (WB) group. The mean ages were 82.6 ± 2.6 years and 83.1 ± 2.6 years, respectively. Quality of life, measured with the SF-12 scale, increased significantly in both the short and long term in the WB group (53.5 ± 5.8 points vs 65.2 ± 4.4 points at 6 weeks and 70.1 ± 4.2 points vs. 80.9 ± 3.7 points at 2 years; p<0.001). The WB group also showed a higher quality of life, as measured by the Barthel Index (54.5 ± 5.2 points vs. 64.3 ± 4.0 points at 6 weeks and 71.0 ± 4.3 points vs. 80.7 ± 3.4 points at 2 years; p<0.001).

conclusionsElderly patients with pronation rotation type III fractures could benefit from an early weight-bearing protocol in terms of quality of life and functionality.

Indexed as

Ankle FracturesAgedAged, 80 and overCohort StudiesFracture Fixation, InternalHumansPronationProspective StudiesQuality of LifeRotationTreatment OutcomeWeight-BearingAnkle fractureElderly patientsPronation external rotationQuality of lifeWeight-bearing

Identifiers

PMID34649545
PMCPMC8518213
OpenAlexW3206866250

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.