Evidence map›Paper›PMID 35184581›Full record

ArticleFoot & ankle international2022

Association of Delayed Surgery for Ankle Fractures and Patient-Reported Outcomes.

Kristian Pilskog, Teresa Brnic Gote, Heid Elin Johannessen Odland, Knut Andreas Fjeldsgaard, Håvard Dale, Eivind Inderhaug, Jonas Meling Fevang

Open access · hybridAbstract read
In one paragraph

Article in Foot & ankle international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Intramedullary Fixation Versus Plate Fixation of Distal Fibular Fractures: A Systematic Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024
    Pooled it
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  9. Review
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  12. Foot and Ankle Outcome Instruments: Missing the Target.Current reviews in musculoskeletal medicine · 2023
    Review
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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

7 authors at 1 institution in 1 country.

Kristian PilskogOrthopedic department, Haukeland University Hospital, Norway.ORCID 0000-0002-8866-9045
Teresa Brnic GoteDepartment of Physiotherapy, Haukeland University Hospital, Norway.ORCID 0000-0002-3902-1218
Heid Elin Johannessen OdlandOrthopedic department, Haukeland University Hospital, Norway.
Knut Andreas FjeldsgaardOrthopedic department, Haukeland University Hospital, Norway.
Håvard DaleOrthopedic department, Haukeland University Hospital, Norway.ORCID 0000-0002-2962-2706
Eivind InderhaugOrthopedic department, Haukeland University Hospital, Norway.ORCID 0000-0001-7959-163X
Jonas Meling FevangOrthopedic department, Haukeland University Hospital, Norway.
Haukeland University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral studies probe the association between prolonged time to surgery and postoperative complications in ankle fractures, but little is known about how a longer wait time affects clinical outcomes. The present study aims to assess the association between time from injury to surgery and patient-reported outcomes after operative treatment of severe ankle fractures.

methodPatients treated operatively for low-energy ankle fractures that also involve the posterior malleolus from 2014 to 2016 were included. Patient charts were reviewed for patient demographics, type of trauma, fracture characteristics, treatment given, and complications. Ankle function was evaluated on a follow-up visit by clinical examination, radiographs, and patient-reported outcome measures (Self-Reported Foot and Ankle Score [SEFAS], RAND-36, visual analog scale [VAS] of Pain, VAS of Satisfaction). We compared patients treated within 1 week to those treated later than a week from injury for analyses.

resultsFollow-up visits of 130 patients were performed at mean 26 (SD 9) months after surgery. Patient demographics and fracture characteristics were similar between groups. Mean SEFAS was 34 (SD 10) in patients treated later than a week from injury vs 38 (SD 9) in those treated earlier (

conclusionIn this retrospective patient series of low-energy ankle fractures with posterior malleolar fragments, we found that waiting >7 days for definitive surgery was associated with poorer clinical outcomes and more pain compared with those who had surgery earlier. LEVEL OF EVIDENCE: Level III, retrospective comparative study.

Indexed as

Ankle FracturesFracture Fixation, InternalHumansPainPatient Reported Outcome MeasuresRetrospective StudiesTreatment Outcomeanklecomplicationsdelayfractureoperationoutcomeposterior malleolusPROMSEFAS

Identifiers

PMID35184581
PMCPMC9168892
OpenAlexW4213322568

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.