SynthesisPloS one2021
Comparison of deltoid ligament repair and non-repair in acute ankle fracture: A meta-analysis of comparative studies.
Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- A systematic review on how to treat deltoid ligament injuries - are we missing a uniform standard?BMC musculoskeletal disorders · 2026Pooled it
- A systematic review on how to diagnose deltoid ligament injuries-are we missing a uniform standard?BMC musculoskeletal disorders · 2024Pooled it
- Pooled it
- Deltoid ligament injury: thinking beyond the ankle - an expert opinion.EFORT open reviews · 2026Article
- Evaluating the Necessity of Deltoid Ligament Repair in Ankle Fractures: A Systematic Review and Meta-Analysis.Cureus · 2026Review
- Does Deltoid Ligament Repair Reduce Complications and Improve Functional Outcomes Measured by PROMIS Scores Following Ankle Fracture Surgery?Foot & ankle orthopaedics · 2025Article
- Biomechanical Analysis of Ankle Stability Following Deltoid Ligament Repair and Reconstruction.BioMed research international · 2025Article
- Patient Reported Outcomes for Maisonneuve Fractures using PROMIS Physical Function Scores.The Iowa orthopaedic journal · 2025Article
- Deltoid ligament injuries: A review of the anatomy, diagnosis and treatments.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2024Review
- Kirschner Wire Internal Fixation of the Medial Tibiotalar Joint for Indirect Repair of Deltoid Ligament Injury: A Retrospective Comparative Study.Orthopaedic surgery · 2024Article
- Deltoid ligament (DL) repair produced better results than DL nonrepair for the treatment for rotational ankle instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Repair of deep deltoid ligament ruptures near the medial malleolar attachment or midsubstance rupture by using suture anchors into the talus combined with the transosseous suture in the medial malleolar.Frontiers in surgery · 2023Article
- Arthroscopically Assisted Reduction and Fixation of Deltoid Ligament Avulsion Fracture From Medial Malleolus.Arthroscopy techniques · 2022Article
- Clinical effectiveness of suture anchor repair combined with open reduction and internal fixation in the treatment of deltoid ligament rupture in ankle fracture.Pakistan journal of medical sciencesArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRupture of the deltoid ligament (DL) in acute ankle fracture is very common. However, there is still insufficient evidence on whether to repair the DL in acute ankle fracture. Therefore, a systematic review and meta-analysis of comparative studies was performed to report the outcome of DL repair in acute ankle fracture.
methodsThe PubMed, Cochrane Library, EMBASE and Web of Science databases were searched from the inception dates to October 31, 2020, for comparative studies. The methodological quality was evaluated based on the risk-of-bias tool of the Cochrane Collaboration for Randomized Controlled Trials (RCTs) or the Risk-of-Bias Assessment Tool for Non-randomized Studies (RoBANS). The post-operative medial clear space (MCS), final MCS, American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, visual analogue scale (VAS) score and incidence of complications were analysed.
resultsA total of 8 comparative studies involving 388 participants who suffered Weber type B or C ankle fractures were included in this meta-analysis. The results showed that the post-operative MCS, final MCS, AOFAS score and rate of complications were statistically superior in the DL repair group. For the VAS score, there was no significant difference between the DL repair group and the DL non-repair group.
conclusionsIn this meta-analysis of comparative studies, DL repair offered great advantages in terms of the post-operative MCS, final MCS, AOFAS score and rate of complications compared with non-repair. The repair of the DL in patients with acute ankle fractures might be beneficial to ankle joint stability and assist in improving the quality of ankle reduction. More high-quality and prospective studies with long follow-up durations are needed to further demonstrate the superiority of DL repair over non-repair.
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Registered trials
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.