SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023
Fractures of the posterior malleolus: a systematic review and analysis of patient-reported outcome scale selection.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 4 citations in OpenAlex.
- Influence of posterior malleolar fragment size on clinical function and spatiotemporal gait parameters in trimalleolar ankle fractures.BMC surgery · 2026Article
- Review
- Importance of computed tomography in posterior malleolar fractures: Added information to preoperative X-ray studies.World journal of orthopedics · 2023Article
- Open fixation of the posterior malleolus increases the morbidity of trimalleolar ankle fracture fixation.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDespite the extensive use of PROs in ankle fracture research, no study has quantified which PROs are most commonly used for assessing outcomes of patients who sustain fractures of the posterior malleolus. The purpose of this study was therefore to quantify which PROs are most commonly used for outcome research after posterior malleolus fractures.
methodsA systematic search was performed using the preferred reporting items for systematic reviews and meta-analyses guidelines. Articles were identified through Pubmed, EMBASE, Web of Science, and cochrane central register of controlled trials through May of 2021. Included articles were analyzed for the primary outcome of the most commonly reported PRO.
resultsThe American orthopedic foot and ankle ankle-hindfoot score (AOFAS) was the most commonly used PRO for assessment of posterior malleolus fracture outcomes, used in 37 of 72 studies (51.4%). The second and third most common were the olerud-molander ankle score (OMAS) (22 studies, 30.6%) and the visual analogue score (VAS) (21 studies, 29.2%). Eleven different PROs were used only once. Quality of evidence was graded as low given the percentage of studies that were observational or case series (68 of 72 studies, 94.4%).
conclusionInvestigators have used many different PROs to assess outcomes for posterior malleolus fractures, the most common of which are the AOFAS, OMAS, and VAS. Future investigators should attempt to unify outcome reporting for these injuries.
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