Evidence map›Paper›PMID 36891124›Full record

ArticleFoot & ankle orthopaedics2023

Transportal Tibiotalocalcaneal Nail Ankle Arthrodesis: A Systematic Review of Initial Series.

Darius Luke Lameire, Hassaan Abdel Khalik, Christopher Del Balso, Timothy Daniels, Mansur Halai

Open access · goldAbstract read
In one paragraph

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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 16% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Percutaneous joint preparation for tibiotalocalcaneal arthrodesis: a case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
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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

5 authors at 4 institutions in 1 country.

Darius Luke LameireDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-1051-3144
Hassaan Abdel KhalikDivision of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada.
Christopher Del BalsoDepartment of Orthopaedic Surgery, London Health Sciences Centre, Western University, London, ON, Canada.ORCID https://orcid.org/0000-0003-4074-6424
Timothy DanielsDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-0962-6977
Mansur HalaiDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-5679-2076
St. Michael's Hospital · CAMcMaster University · CAUniversity of Toronto · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is currently a scarcity of information and consensus for transportal (arthroscopic or fluoroscopic) joint preparation during tibiotalocalcaneal (TTC) fusion, and therefore this review aims to summarize the available techniques and to evaluate the outcomes after this procedure. Methods: A systematic electronic search of MEDLINE, EMBASE, and Web of Science was performed for all English-language studies published from their inception to April 4, 2022. All articles addressing arthroscopy in TTC nailing were eligible for inclusion. The PRISMA Checklist guided the reporting and data abstraction. Descriptive statistics are presented. Result: A total of 5 studies with 65 patients were included for analysis. All studies used arthroscopic portals for tibiotalar and subtalar joint preparation (in 4 studies) prior to TTC nailing, with 4 studies using an arthroscope and 1 study using fluoroscopy. The overall major complication rate was 13.8%; however, there was only 1 instance of deep wound infection (1.5%) and 4 instances of surgical site infections (6.2%). Full fusion was achieved in 86% of patients with an average time to fusion of 12.9 weeks. The mean American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score preoperatively was 34.0 and postoperatively was 70.5. Conclusion: Although limited by the number of studies, transportal joint preparation during TTC nail ankle fusion is associated with good rates of complications and successful fusion. Level of Evidence: Level III, systematic review of Level III-IV studies.

Indexed as

AOFAS: American Orthopaedic Foot & Ankle Societyavascular necrosisconfidence intervaldiabetes mellitusEmbaseExcerpta Medica DatabaseMedical Literature Analysis and Retrieval System OnlineMedlineMethodological Index for Non-randomized StudiesMINORSnot reportedPreferred Reporting Items for Systematic Reviews and Meta-AnalysisPRISMAtibiotalocalcanealTTCVAS-FAVisual Analog Scale Score Foot and Ankle

Identifiers

PMID36891124
PMCPMC9986908
OpenAlexW4323287046

What OpenQuestion holds

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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.