Evidence map›Paper›PMID 38869627›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Open ankle fractures in the elderly: predisposing factors and the associated mortality.

Haggai Schermann, Takahisa Ogawa, Bart Lubberts, Gregory R Waryasz, Philip Kaiser, Christopher W DiGiovanni, Daniel Guss

Abstract read
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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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. An overview on the management of ankle fractures in elderly patients aged 65 and over: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  3. 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

7 authors.

Haggai SchermannAdelson School of Medicine, Ariel University, 4070000, Ariel, Israel. sheralmi@gmail.com.ORCID http://orcid.org/0000-0002-9271-6932
Takahisa OgawaDepartment of Orthopedic Surgery, Tokyo Medical and Dental University, Tokyo, Japan.
Bart LubbertsFoot & Ankle Research and Innovation Laboratory, Massachusetts General Hospital, Harvard Medical School, 158 Boston Post Road, Weston, MA, 02493, USA.
Gregory R WaryaszFoot & Ankle Research and Innovation Laboratory, Massachusetts General Hospital, Harvard Medical School, 158 Boston Post Road, Weston, MA, 02493, USA.
Philip KaiserFoot & Ankle Research and Innovation Laboratory, Massachusetts General Hospital, Harvard Medical School, 158 Boston Post Road, Weston, MA, 02493, USA.
Christopher W DiGiovanniFoot & Ankle Research and Innovation Laboratory, Massachusetts General Hospital, Harvard Medical School, 158 Boston Post Road, Weston, MA, 02493, USA.
Daniel GussFoot & Ankle Research and Innovation Laboratory, Massachusetts General Hospital, Harvard Medical School, 158 Boston Post Road, Weston, MA, 02493, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study was to investigate the independent effect of open ankle fractures on postoperative mortality and to identify factors leading to open ankle fractures in the elderly population. This is a retrospective case-control study of 1,045 patients aged 65 years and older, with ankle fractures undergoing surgical fixation between 2010 and 2020 at three medical centers (Levels 1-2). A logistic regression analysis was used to identify risk factors for open fractures. Propensity score matching and survival analysis were used to measure the hazard of mortality attributable to open versus closed ankle fractures. There were 128 (12.2%) patients with open ankle fractures. Patients with open ankle fractures were more likely to be older, to be active smokers (OR = 1.7, p = 0.049), and tended to have a higher number of medical comorbidities including hypertension (OR = 2, p = 0.006) and chronic kidney disease (OR = 2.9, p = 0.005). Open ankle fractures were, independently of comorbid conditions and age, associated with higher risk of mortality (HR = 1.7, p = 0.03).

Indexed as

Ankle FracturesComorbidityFractures, OpenAgedAged, 80 and overAge FactorsCase-Control StudiesFemaleHumansMalePropensity ScoreRetrospective StudiesRisk FactorsSmokingAnkle fractureGeriatricMortalityOpen fractureOsteoporosis

Identifiers

PMID38869627

What OpenQuestion holds

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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.