Evidence map›Paper›PMID 35024369›Full record

ArticleOrthopaedic journal of sports medicine2022

Talus Visualization in Ankle Fractures: How Much Are We Really Seeing?

Nathaniel B Hinckley, Jeffrey D Hassebrock, Phillip J Karsen, David G Deckey, Andrea Fernandez, Todd A Kile, Mark C Drakos, Karan A Patel

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 47% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

8 authors at 3 institutions in 1 country.

Nathaniel B HinckleyDepartment of Orthopaedic Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Jeffrey D HassebrockDepartment of Orthopaedic Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Phillip J KarsenDepartment of Orthopaedic Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
David G DeckeyDepartment of Orthopaedic Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Andrea FernandezUniversity of Arizona College of Medicine, Phoenix, Arizona, USA.
Todd A KileDepartment of Orthopaedic Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Mark C DrakosDepartment of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, USA.
Karan A PatelDepartment of Orthopaedic Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Mayo Clinic Hospital · USHospital for Special Surgery · USUniversity of Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite appropriate care, a subset of patients with ankle fractures has persistent pain. This condition may be associated with intra-articular pathology, which is present up to 65% of the time. PURPOSE: To quantify how much of the talus is visible through an open approach to a standard supination external rotation bimalleolar ankle fracture as a percentage of the entire weightbearing surface of the talus. STUDY

designDescriptive laboratory study.

methodsStandard ankle approaches to lateral and medial malleolar fractures were performed in 4 cadaveric ankles from 2 cadavers. Osteotomies were made to simulate a supination external rotation bimalleolar ankle fracture based on the Lauge-Hansen classification. The visible segments of talar cartilage were removed. The tali were then exhumed, and the entire weightbearing superior portion of the talus was assessed and compared with the amount of cartilage removed by an open approach. The mean of the data points as well as the 95% confidence interval were calculated.

resultsFour ankle specimens from 2 cadavers were used for these measurements. The mean surface area of the talus was 14.0 cm

conclusionThese findings indicate that the true area of weightbearing talar surface visible during an open exposure may be less than what many surgeons postulate. CLINICAL RELEVANCE: Only a small fracture of the talus is visible via an open approach to the talus during fracture fixation. This could warrant arthroscopic evaluation of these injuries to evaluate and treat osteocondral lesions resulting from ankle fractures.

Indexed as

ankle arthritisankle arthroscopyankle fracturechondral injuryposttraumatic arthritistalus

Identifiers

PMID35024369
PMCPMC8743951
OpenAlexW4205165699

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.