Evidence map›Paper›PMID 37386191›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Fracture blisters: predictors for time to definitive fixation in pilon fractures.

Avinaash Korrapati, Canhnghi N Ta, Brendon C Mitchell, Pelle V Wall, Pradyumna Gurusamy, Kathryn Dwight, Paul J Girard, Alexandra K Schwartz, William T Kent

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Avinaash KorrapatiDepartment of Orthopaedic Surgery, University of California San Diego, 200 W Arbor Drive, MC 8894, San Diego, CA, 92103, USA.
Canhnghi N TaDepartment of Orthopaedic Surgery, University of California San Diego, 200 W Arbor Drive, MC 8894, San Diego, CA, 92103, USA.
Brendon C MitchellDepartment of Orthopaedic Surgery, University of California San Diego, 200 W Arbor Drive, MC 8894, San Diego, CA, 92103, USA.
Pelle V WallDepartment of Orthopaedic Surgery, University of California San Diego, 200 W Arbor Drive, MC 8894, San Diego, CA, 92103, USA.
Pradyumna GurusamyDepartment of Orthopaedic Surgery, University of California San Diego, 200 W Arbor Drive, MC 8894, San Diego, CA, 92103, USA.
Kathryn DwightDepartment of Orthopaedic Surgery, University of California San Diego, 200 W Arbor Drive, MC 8894, San Diego, CA, 92103, USA.
Paul J GirardDepartment of Orthopaedic Surgery, University of California San Diego, 200 W Arbor Drive, MC 8894, San Diego, CA, 92103, USA.
Alexandra K SchwartzDepartment of Orthopaedic Surgery, University of California San Diego, 200 W Arbor Drive, MC 8894, San Diego, CA, 92103, USA.
William T KentDepartment of Orthopaedic Surgery, University of California San Diego, 200 W Arbor Drive, MC 8894, San Diego, CA, 92103, USA. wkent@health.ucsd.edu.ORCID http://orcid.org/0000-0002-7065-9551
University of California San Diego · USUC San Diego Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFracture blisters, a common soft-tissue complication of pilon fractures, are associated with post-operative wound infections, delays in definitive fixation, and alterations in surgical plan. The purpose of this study was to (1) identify the delay in surgery attributable to the presence fracture blisters and (2) investigate the relationship of fracture blisters to comorbidities and fracture severity.

methodsPatients with pilon fractures at an urban level 1 Trauma center from 2010 to 2021 were identified. The presence or absence of fracture blisters was noted, along with location. Demographic information, time from injury to external fixator placement, and time to definitive open reduction internal fixation (ORIF) were collected. Pilon fractures were classified according to AO/OTA guidelines using CT imaging and plain radiographs.

results314 patients with pilon fractures were available for analysis, eighty (25%) of whom were found to have fracture blisters. Patients with fracture blisters had longer time to surgery compared to those without fracture blisters (14.2 days vs 7.9 days, p < 0.001). A greater proportion of patients with fracture blisters had AO/OTA 43C fracture patterns, compared with those without fracture blisters (71.3% vs 53.8%, p = 0.03). Fractures blisters were less likely to be localized over the posterior ankle (12%, p = 0.007).

conclusionThe presence of fracture blisters in pilon fractures are associated with significant delays in time to definitive fixation and higher energy fracture patterns. Fracture blisters are less commonly located over the posterior ankle which may support the implementation of a staged posterolateral approach when managing these injures.

Indexed as

Ankle FracturesAnkle InjuriesTibial FracturesBlisterFracture FixationFracture Fixation, InternalHumansRetrospective StudiesTreatment OutcomeCase controlExternal fixationFracture blistersGeneral traumaInternal fixationOpen reductionPilon fractures

Identifiers

PMID37386191
PMCPMC10771370
OpenAlexW4382602830

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.