Evidence map›Paper›PMID 38825673›Full record

ArticleJournal of orthopaedic surgery and research2024

Clinical, functional and radiological outcome after osteosynthesis of ankle fractures using a specific provocation test.

Julian Zimmermann, Liv Zingg, Walter O Frey, Michel Schläppi, Arby Babians, Urs Zingg

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 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

6 authors.

Julian Zimmermann *Department of Orthopaedics and Traumatology, Limmattal Hospital, Urdorferstrasse 100, Zurich-Schlieren, 8952, Switzerland. jbf.zimmermann@gmail.com.
Liv Zingg *Department of Orthopaedics and Traumatology, Limmattal Hospital, Urdorferstrasse 100, Zurich-Schlieren, 8952, Switzerland.
Walter O FreyMovemed, Department of Sport Medicine, University Hospital Balgrist, Zurich, 8008, Switzerland.
Michel SchläppiDepartment of Orthopaedics and Traumatology, Hospital of Winterthur, Brauerstrasse 15, Postfach, Winterthur, 8401, Switzerland.
Arby BabiansDepartment of Orthopaedics and Traumatology, Limmattal Hospital, Urdorferstrasse 100, Zurich-Schlieren, 8952, Switzerland.
Urs ZinggDepartment of Orthopaedics and Traumatology, Limmattal Hospital, Urdorferstrasse 100, Zurich-Schlieren, 8952, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnkle fractures are frequent, and despite numerous publications on their treatment and outcome, there is a lack of precise data on the functional results in young, healthy and physically active patients. We hypothesized that patients who underwent open reduction and internal fixation (ORIF) for simple ankle fractures would have similar function compared to a healthy control group, whereas patients with complex fractures will have significant functional deficits. Furthermore, we postulate that there is a discrepancy between the radiological and the functional outcomes.

methodsA set of specific provocation tests was developed to evaluate the postoperative possibility of weight bearing, stop-and-go activities and range of motion. In combination with three questionnaires and a radiographic evaluation, the true functional outcome and the possibility of participating in sporting activities were investigated and compared with those of an age- and sex-matched control group.

resultsA significant impairment was found in unilateral and simple ankle fractures. This impairment increased in tests including stop-and-go activities in combination with load bearing and with the complexity of the fractures. Concerning the subjective outcome, there was a significant adverse effect for daily activities without any difference in preoperative or postoperative sporting activity between the groups. No difference was found in the radiological assessment.

conclusionsBoth simple and complex ankle fractures treated with ORIF have a significant and long-lasting impact on functional outcome in young and active patients. The radiological result is not associated with a good functional outcome.

trial registrationBASEC-Nr. 2018 - 01124.

Indexed as

Ankle FracturesFracture Fixation, InternalAdultAgedFemaleHumansMaleMiddle AgedRadiographyRange of Motion, ArticularRecovery of FunctionTreatment OutcomeWeight-BearingYoung AdultAnkle fracturesFunctional outcomeORIFPostoperative sporting activityProvocation testsRadiological outcome

Identifiers

PMID38825673
PMCPMC11145828

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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.