ArticleJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2021
Morphological analysis of posterior malleolar fractures with intra-articular impacted fragment in computed tomography scans.
Article in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 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.
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5 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Classifications of posterior malleolar fractures: a systematic literature review.Archives of orthopaedic and trauma surgery · 2023Pooled it
- 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
- Morphology of occult posterior malleolus fractures associated with tibial shaft fractures.Bone & joint open · 2025Article
- Fracture Line Morphology of Greater Tuberosity Fragments of Neer Three- and Four-Part Proximal Humerus Fractures.Orthopaedic 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
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8 authors at 2 institutions in 1 country.
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Abstract
backgroundIntraarticular impacted fragment (IAIF) of posterior malleolar fractures has been reported by a few studies. However its location, morphology, and the correlation of posterior malleolar fractures have not been described in detail. The aim of this study was to describe the morphology of IAIF in posterior malleolar fractures, to analyze the related factors between IAIF and posterior malleolar fragments, and explore the treatment of IAIF. MATERIALS AND
methodsBetween January 2013 and December 2018, 108 consecutive patients with unilateral posterior malleolar fractures were managed in our hospital. Basic demographic and computed tomography (CT) data were collected and classified by Lauge-Hansen, OTA/AO, Haraguchi, and Mason classification. Additional radiographic data, including the length and area of posterior malleolar fragment, IAIF, and stable tibial plafond were measured. The location of IAIF was described, and involvement of the fibular notch and medial malleolus was also observed. Statistics were analyzed based on univariate analysis (Chi-square test, t-test, Mann-Whitney U test, Fisher's test) and Spearman's correlation test.
resultsAmong the 108 cases of posterior malleolar fractures, 75 (69.4%) were with IAIF and 33 (30.6%) cases were without. There were 74 (68.5%) females and 34 (31.5%) males, and the average age of the patients was 49 years (18-89 years). The average L
conclusionOur research indicates a high incidence of IAIF in posterior malleolar fractures. All IAIFs were found in posterior malleolar, and the most common location was within the lateral area A. Posterior malleolar fracture lines that extend to medial malleolus or fibular notch herald the incidence of IAIF. L LEVEL OF EVIDENCE: Level III, retrospective case analysis.
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