ArticleFoot & ankle orthopaedics2023
Risk Factors Associated With Worse Clinical Outcomes of Ankle Fractures Involving the Posterior Malleolus.
Article in Foot & ankle orthopaedics, 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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Who cites it
7 citing papers in PubMed, 7 citations in OpenAlex.
- Fear of reinjury is associated with failure to return to preinjury level of activity after operative repair of ankle fractures.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Mid-term outcomes of posterior malleolar fracture plating: identifying predictors of adverse outcomes.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Weber Classification Does Not Correlate with PROMIS Outcome Measures.Foot & ankle orthopaedics · 2026Article
- Hardware-preserving management of early soft-tissue breakdown over stable osteosynthesis: a retrospective single-centre experience.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Article
- Recovery of Patient-Reported Outcome Measures vs Gait Parameters Obtained by Instrumented Insoles After Tibial and Malleolar Fractures: Prospective Longitudinal Observational Study.JMIR mHealth and uHealth · 2025Observational
- Comparison of PROMIS scores after total hip and total ankle arthroplasty : a propensity score-matched study.Bone & joint open · 2025Article
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Ankle fractures involving the posterior malleolus (PM) tend to result in inferior clinical outcomes compared to other ankle fractures. However, it is unclear which specific risk factors and fracture characteristics are associated with negative outcomes in these fractures. The aim of this study was to identify risk factors for poor postoperative patient-reported outcomes in patients with fractures involving the PM. Methods: This retrospective cohort study included patients who sustained ankle fractures involving the PM between March 2016 and July 2020 and had preoperative computed tomography (CT) scans. In total, 122 patients were included for analysis. One patient (0.8%) had an isolated PM fracture, 19 (15.6%) had bimalleolar ankle fractures involving the PM, and 102 (83.6%) had trimalleolar fractures. Fracture characteristics including the Lauge-Hansen (LH) and Haraguchi classifications and posterior malleolar fragment size were collected from preoperative CT scans. Patient Reported Outcome Measurement Information System (PROMIS) scores were collected preoperatively and at a minimum of 1 year postoperatively. The association between various demographic and fracture characteristics with postoperative PROMIS scores was assessed. Results: Involvement of more malleoli was associated with worse PROMIS Physical Function ( Conclusion: In this cohort, we found that trimalleolar ankle fractures were associated with inferior PROMIS outcomes compared with bimalleolar ankle fractures involving the PM in multiple domains. Level of Evidence: Level III, retrospective cohort study.
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