Evidence map›Paper›PMID 38771534›Full record

ArticleInternational orthopaedics2024

Risk factors associated with breakage of tibio-fibular syndesmotic screws.

Halis Atıl Atilla, Mutlu Akdoğan, Alper Öztürk, Muhammet Hayat, Fatih Barça, Ekin Barış Demir, Albert Çakar, Melih Ünal, Özkan Köse

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Article in International orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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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

2 citing papers in PubMed.

  1. Article
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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.

Halis Atıl AtillaDepartment of Orthopedics and Traumatology, Ankara Etlik City Hospital, Ankara, Turkey. dratilatilla@hotmail.com.ORCID 0000-0002-5670-1469
Mutlu AkdoğanDepartment of Orthopedics and Traumatology, Ankara Etlik City Hospital, Ankara, Turkey.ORCID 0000-0001-8419-4065
Alper ÖztürkDepartment of Orthopedics and Traumatology, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkey.ORCID 0000-0003-2986-4083
Muhammet HayatDepartment of Orthopedics and Traumatology, Tokat Turhal State Hospital, Tokat, Turkey.ORCID 0000-0001-8278-220X
Fatih BarçaDepartment of Orthopedics and Traumatology, Ankara Etlik City Hospital, Ankara, Turkey.ORCID 0000-0002-8167-6146
Ekin Barış DemirDepartment of Orthopedics and Traumatology, Ankara Etlik City Hospital, Ankara, Turkey.ORCID 0000-0002-9986-1905
Albert ÇakarDepartment of Orthopedics and Traumatology, University of Health Sciences, Istanbul Training and Research Hospital, Istanbul, Turkey.ORCID 0000-0002-1422-2208
Melih ÜnalDepartment of Orthopedics and Traumatology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.ORCID 0000-0002-8002-6408
Özkan KöseDepartment of Orthopedics and Traumatology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.ORCID 0000-0002-7679-9635

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis retrospective study aimed to investigate the factors associated with the breakage of tibio-fibular syndesmotic screws (SS).

methods69 patients with unstable AO-Weber Type 44-B ankle fractures who underwent three cortex SS (3.5 mm ø) fixation were included. Patients were followed for at least one year (mean, 18.3 ± 7.6 months). At the final follow-up, patients with broken (Group I) and intact (Group II) SS were compared regarding age, gender, height, weight, body mass index, fracture type, SS length, location, and orientation. Multivariate logistic regression was used to identify the independent risk factors associated with SS breakage. The sensitivity, specificity, cut-off value, and area under the ROC curve were analyzed.

resultsA stepwise backward logistic regression analysis revealed that age was the only independent predictor for SS breakage (OR = 0.938, 95% CI = 0.904-0.973, R

conclusionAge under 36 years was the only significant risk factor for SS breakage. The higher incidence of breakage of the syndesmotic screw can be informed to patients younger than 36.

Indexed as

Ankle FracturesBone ScrewsFracture Fixation, InternalAdultAgedAge FactorsFemaleFibulaHumansMaleMiddle AgedRetrospective StudiesRisk FactorsTibiaYoung AdultAnkle fractureRemovalRisk factorSyndesmosis injurySyndesmosis screw

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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.