Evidence map›Paper›PMID 35769653›Full record

SynthesisOrthopedic reviews2022

OUTCOMES AFTER UNSTABLE FRACTURES OF THE ANKLE: WHAT'S NEW? A SYSTEMATIC REVIEW.

Luca Monestier, Giacomo Riva, Lorenzo Coda Zabetta, Michele F Surace

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Orthopedic reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Five decades of total ankle replacement: from early failures to fourth-generation innovations and future priorities.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Review
  4. Article
  5. Review
  6. Review
  7. Review
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

4 authors at 2 institutions in 1 country.

Luca MonestierDivision of Orthopedics and Traumatology, ASST Sette Laghi, Varese, Italy.ORCID 0000-0002-5404-5533
Giacomo RivaDivision of Orthopedics and Traumatology, ASST Sette Laghi, Varese, Italy.ORCID 0000-0001-7543-4282
Lorenzo Coda ZabettaResidency program in Orthopedics and Trauma, Department of Biotechnologies and Life Sciences (DBSV), University of Insubria, Varese, Italy.ORCID 0000-0001-5011-1196
Michele F SuraceInterdisciplinary Research Center for Pathology and Surgery of the Musculoskeletal System, Department of Biotechnology and Life Sciences (DBSV), University of Insubria, Varese, Italy.ORCID 0000-0002-4645-8418
Aziende Socio Sanitarie Territoriale dei Sette LaghiUniversity of Insubria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Unstable ankle fractures are very frequent. Given the instability, they often require surgical treatment, but literature scarcely reports on the outcomes of their management. Questions/purposes: For this systematic review we asked: (1) What are the outcomes in treatment of unstable ankle fractures? (2) What about complications of treatment in unstable fractures? (3) What factors influence the outcomes? (4) What about the role of the posterior malleolus? Methods: The electronic databases PubMed, Scopus, and Embase were interrogated using the search terms "bimalleolar" or "trimalleolar" and "fracture". Studies were included if they reported on: (1) bimalleolar or trimalleolar fracture in adults; (2) treatment; (3) outcomes reported by scales; (4) follow-up. The final review included 33 studies. The quality of the studies was evaluated with the Methodological Index for Non-randomized Studies (MINORS) questionnaire. Results: All the outcomes of the thirty-three selected studies were analyzed. Discussion: Surgical fixation of unstable ankle fractures should always be performed within the first 48 hours from the trauma, preventing instability and post-traumatic osteoarthritis. Surgeon should consider factor may influence functional outcomes. Posterior malleolar fractures should be fixed regardless the size, considering some individual factors.

Indexed as

anklebimalleolarfractureinstabilityreviewtrimalleolar

Identifiers

PMID35769653
PMCPMC9235440
OpenAlexW4281932256

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.