ArticleJournal of orthopaedic surgery and research2023
Posterior malleolus fracture: a mid-term follow-up.
Article in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 9 citations in OpenAlex.
- Validity and prognostic value of a novel intraoperative assessment tool for reduction in trimalleolar fractures: the SGSC checklist approach.Archives of orthopaedic and trauma surgery · 2026Article
- Influence of posterior malleolar fragment size on clinical function and spatiotemporal gait parameters in trimalleolar ankle fractures.BMC surgery · 2026Article
- Posterior Malleolus Fixation in Trimalleolar Ankle Fractures: Outcomes From a Single-Centre Retrospective Cohort.Cureus · 2026Article
- Clinical Outcomes Following Posterior Malleolus Fixation in Trimalleolar Ankle Fractures: A Prospective Study.Malaysian orthopaedic journal · 2025Article
- Factors Influencing Follow-up Attendance and Its Effect on Functional Outcomes in Middle-Aged and Geriatric Hip Fracture Patients.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Comparative analysis of internal fixation modalities for PER type IV ankle fractures: a finite element study.Journal of orthopaedic surgery and research · 2024Article
- Ambient Noise in Residential Environments Influences Postoperative Recovery After Ankle Fracture Surgery.Noise & healthArticle
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8 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundThe treatment of posterior malleolar fractures is changing rapidly, and the evidence base is still catching up. This study aimed to assess the mid-term prognosis of posterior malleolar fractures based on different morphological types and provides evidence for the treatment of posterior malleolar fractures.
methodsWe retrospectively analyzed the data of inpatients with posterior malleolar fractures from 1 January 2012 to 31 December 2019 at one high-volume tertiary trauma center. Fracture morphology was classified into small-shell fragment, single-fragment (small-fragment and large-fragment) and multifragment (double-fragment and compressive-fragment) by computed tomography according to our previous study. All patients were followed up at an average of 5.06 (range, 2.21-8.70) years. The Olerud-Molander Ankle Score (OMAS), EuroQol-5 Dimensions (EQ-5D) and American Orthopedic Foot and Ankle Society (AOFAS) score were recorded.
resultsSeventy-nine patients were included, and 7 patients were classified into the small-shell group, 52 patients into the single-fragment group and 20 patients into the multifragment group. Of all the patients, the average OMAS, EQ-5D and AOFAS scores were 85.9, 82.8 and 92.5, respectively. In the single-fragment group, patients who underwent surgical fixation in the posterior malleolus had significantly better scores (P = 0.037, 0.033 and 0.027). Among the patients with small fragments, the surgical fixation group also had higher OMAS (93.1 ± 7.5 vs. 83.5 ± 19.5, P = 0.042) and AOFAS scores (98.1 ± 3.1 vs. 91.0 ± 14.1, P = 0.028). The mean OMAS, EQ-5D and AOFAS scores were 85.5, 85.7 and 91.7, respectively, in patients with multiple fragments who underwent surgical fixation.
conclusionThis study shows that in fractures with a single fragment, surgical fixation of the posterior malleolar fragment led to a better prognosis in the midterm. All single fragments should be fixed regardless of size. Fixation of the posterior region in all single- and multi-fragments in posterior malleolar fractures led to satisfactory outcomes. LEVEL OF EVIDENCE: Level III, follow-up study.
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