ArticleArchives of orthopaedic and trauma surgery2022
Trends of incidence and treatment strategies for operatively treated distal fibula fractures from 2005 to 2019: a nationwide register analysis.
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 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Arthroscopically assisted (AORIF) ankle fracture treatment seems to lead to superior results when compared to open reduction and internal fixation (ORIF) only: results of a systematic review.Archives of orthopaedic and trauma surgery · 2025Pooled it
- 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
- Recovery of gait after ankle fracture surgery following early mobilization and weight-bearing.Archives of orthopaedic and trauma surgery · 2026Article
- [Full weight-bearing after geriatric ankle fractures-No problem?]Unfallchirurgie (Heidelberg, Germany) · 2026Review
- The Diagnosis, Treatment, and Aftercare of Ankle Fractures.Deutsches Arzteblatt international · 2026Review
- Fibular Nonunion: A Systematic Review of Incidence, Diagnosis, and Treatment Outcomes.Journal of personalized medicine · 2026Review
- Pain-Adapted Full Weight-bearing After Ankle Fracture Surgery: A Multicenter, Pragmatic, Single-armed Prospective Study.Deutsches Arzteblatt international · 2026Article
- Cost-Effectiveness of Locking vs Nonlocking Plates for Ankle Fracture Fixation: A Retrospective PROMIS-Based Cohort Study.Foot & ankle orthopaedics · 2025Article
- Outcomes of Revision surgery for surgically treated insertional Achilles tendinopathy.Archives of orthopaedic and trauma surgery · 2024Article
- Modern anatomical locking plates are associated with increased postoperative wound complications and unplanned surgical revisions compared to standard tubular plates in the management of unstable ankle fractures: a comparative cohort study in 595 patients.Patient safety in surgery · 2024Article
- Current Trends in the Surgical Treatment of Fibular Fractures: A National Database Study of Intramedullary vs. Plate Fixation Practice Patterns, Complications, and Cost.Advances in orthopedics · 2024Article
- Finite element analysis and a pilot study of different fixation constructs for Danis-Weber A and B lateral malleolus fractures.BMC musculoskeletal disorders · 2023Article
- Ankle fractures in the elderly: Do we have new concepts?EFORT open reviews · 2023Review
- 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
- Minifragment plating of the fibula in unstable ankle fractures.Archives of orthopaedic and trauma surgery · 2023Article
- Incidence, costs and post-operative complications following ankle fracture - A US claims database analysis.BMC musculoskeletal disorders · 2022Article
- A Prospective Randomized Study Comparing Functional Outcome in Distal Fibula Fractures between Conventional AO Semitubular Plating and Minimal Invasive Intramedullary "Photodynamic Bone Stabilisation".Journal of clinical medicine · 2022Article
- Ankle fractures involving the posterior malleolus: patient characteristics and 7-year results in 100 cases.Archives of orthopaedic and trauma surgery · 2022Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionValid epidemiological data about distal fibular fractures and their treatment strategies are missing. Innovative osteosynthesis techniques were introduced and improved during the past 15 years. The aim of this study was to investigate the epidemiologic development and the implementation of new treatment strategies in a nationwide register in Germany over a period of 15 years. MATERIALS AND
methodsData of the German Federal Statistical Office from 2005 until 2019 were screened. Adults with a fracture of the distal fibula were included. Data were separated for gender, age and treatment strategy.
resultsDuring the past 15 years, there was a steady annual incidence of distal fibula fractures of 74 ± 32 per 100,000 people without any significant changes (p = 0.436). 60.1% ± 0.6% of all fractures occurred in females. The annual incidence for male was nearly constant over the different age groups, whereas for female, there was a clear increase in incidence above the age of 40. Whereas 66% of fractures in between 20 and 30 years of age occurred in male, approximately 70% of fractures above the age of 60 occurred in females. The relative quantity of locking plates increased from 2% in 2005 to 34% in 2019. In 2019, only 1.02% of the patients were operated with an intramedullary nail.
conclusionsOperatively treated distal fibular fractures revealed an age dependent increase in incidence in postmenopausal women compared to younger females. Regarding the treatment strategy, there was an increase in application of locking plates. The data implicate a typical fragility fracture related age and gender distribution for distal fibula fractures.
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