Evidence map›Paper›PMID 38817780›Full record

ArticleJournal of surgical case reports2024

Nonunion after medial malleolar osteotomy in total ankle arthroplasties for severe varus deformity: a report of 3 cases.

Gensuke Okamura, Makoto Hirao, Takaaki Noguchi, Yuki Etani, Kosuke Ebina, Taihei Miura, Hideki Tsuboi, Atsushi Goshima, Seiji Okada, Jun Hashimoto

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Gensuke OkamuraDepartment of Orthopaedic Surgery, National Hospital Organization, Osaka Minami Medical Center, Osaka 586-8621, Japan.
Makoto HiraoDepartment of Orthopaedic Surgery, National Hospital Organization, Osaka Minami Medical Center, Osaka 586-8621, Japan.ORCID https://orcid.org/0000-0002-1408-7851
Takaaki NoguchiDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
Yuki EtaniDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
Kosuke EbinaDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
Taihei MiuraDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
Hideki TsuboiDepartment of Orthopaedic Surgery, Osaka Rosai Hospital, Osaka 591-8025, Japan.
Atsushi GoshimaDepartment of Orthopaedic Surgery, Osaka Rosai Hospital, Osaka 591-8025, Japan.
Seiji OkadaDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
Jun HashimotoDepartment of Orthopaedic Surgery, National Hospital Organization, Osaka Minami Medical Center, Osaka 586-8621, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Of the three ankles after total ankle arthroplasty (TAA) with medial malleolar osteotomy for severe varus deformity (talar varus tilt >10°), two failed in varus migration of the tibial component. In these two cases, tibial osteotomy was performed with varus alignment of 5°and 2°, and with medially shifted placement of tibial component, while one ankle showed no migratoin of prostheses after 5 years, even with nonunion. In this case, tibial osteotomy was performed with a valgus alignment of 4°. Internal fixation after medial malleolar osteotomy should be done for severe varus cases. Medially shifted placement of tibial component should be avoided. Fortunately, the failure did not occur in a case of valgus of the distal tibia. Valgus tibial osteotomy might help to reduce the collision of the talus against the medial malleolus.

Indexed as

internal fixationmedial malleolar osteotomysevere varus deformitytotal ankle arthroplastyvalgus tibial osteotomy

Identifiers

PMID38817780
PMCPMC11138109

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.