Evidence map›Paper›PMID 38937167›Full record

ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2025

Dislocations deteriorate postoperative functional outcomes in supination-external rotation ankle fractures.

Sheng-Ye Hu, Mu-Min Cao, Yuan-Wei Zhang, Liu Shi, Guang-Chun Dai, Ya-Kuan Zhao, Tian Xie, Hui Chen, Yun-Feng Rui

Abstract read
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In one paragraph

Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

9 authors.

Sheng-Ye HuDepartment of Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
Mu-Min CaoSchool of Medicine, Southeast University, Nanjing, 210009, China.
Yuan-Wei ZhangDepartment of Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China; School of Medicine, Southeast University, Nanjing, 210009, China; Orthopaedic Trauma Institute (OTI), Southeast University, Nanjing, 210009, China; Trauma Center, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
Liu ShiDepartment of Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China; School of Medicine, Southeast University, Nanjing, 210009, China; Orthopaedic Trauma Institute (OTI), Southeast University, Nanjing, 210009, China; Trauma Center, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
Guang-Chun DaiDepartment of Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China; School of Medicine, Southeast University, Nanjing, 210009, China; Orthopaedic Trauma Institute (OTI), Southeast University, Nanjing, 210009, China; Trauma Center, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
Ya-Kuan ZhaoDepartment of Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China; School of Medicine, Southeast University, Nanjing, 210009, China; Orthopaedic Trauma Institute (OTI), Southeast University, Nanjing, 210009, China; Trauma Center, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
Tian XieDepartment of Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China; School of Medicine, Southeast University, Nanjing, 210009, China; Orthopaedic Trauma Institute (OTI), Southeast University, Nanjing, 210009, China; Trauma Center, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
Hui ChenDepartment of Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China; School of Medicine, Southeast University, Nanjing, 210009, China; Orthopaedic Trauma Institute (OTI), Southeast University, Nanjing, 210009, China; Trauma Center, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
Yun-Feng RuiDepartment of Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China; School of Medicine, Southeast University, Nanjing, 210009, China; Orthopaedic Trauma Institute (OTI), Southeast University, Nanjing, 210009, China; Trauma Center, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China. Electronic address: ruiyunfeng@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the relationship between dislocation and functional outcomes in supination-external rotation (SER) ankle fractures.

methodsA retrospective case series study was performed on patients with ankle fractures treated surgically at a large trauma center from January 2015 to December 2021. The inclusion criteria were young and middle-aged patients of 18 - 65 years with SER ankle fractures that can be classified by Lauge-Hansen classification and underwent surgery at our trauma center. Exclusion criteria were serious life-threatening diseases, open fractures, fractures delayed for more than 3 weeks, fracture sites ≥ 2, etc. Then patients were divided into dislocation and no-dislocation groups. Patient demographics, injury characteristics, surgery-related outcomes, and postoperative functional outcomes were collected and analyzed. The functional outcomes of SER ankle fractures were assessed postoperatively at 1-year face-to-face follow-up using the foot and ankle outcome score (FAOS) and American Orthopedic Foot and Ankle Society ankle hindfoot score and by 2 experienced orthopedic physicians. Relevant data were analyzed using SPSS version 22.0 by Chi-square or t-test.

resultsDuring the study period, there were 371 ankle fractures. Among them, 190 (51.2%) were SER patterns with 69 (36.3%) combined with dislocations. Compared with the no-dislocation group, the dislocation group showed no statistically significant differences in gender, age composition, fracture type, diabetes, or smoking history, preoperative waiting time, operation time, and length of hospital stay (all p > 0.05), but a significantly higher Lauge-Hansen injury grade (p < 0.001) and syndesmotic screw fixation rate (p = 0.033). Moreover, the functional recovery was poorer, revealing a significantly lower FAOS in the sport/rec scale (p < 0.001). Subgroup analysis showed that among SER IV ankle fracture patients, FAOS was much lower in pain (p = 0.042) and sport/rec scales (p < 0.001) for those with dislocations. American Orthopedic Foot and Ankle Society ankle hindfoot score revealed no significant difference between dislocation and no-dislocation patients.

conclusionDislocation in SER ankle fractures suggests more severe injury and negatively affects functional recovery, mainly manifested as more pain and poorer motor function, especially in SER IV ankle cases.

Indexed as

Ankle FracturesJoint DislocationsSupinationAdolescentAdultAgedFemaleFracture Fixation, InternalHumansMaleMiddle AgedRecovery of FunctionRetrospective StudiesRotationTreatment OutcomeYoung AdultAnkle fracturesFunctional outcomesJoint dislocationsSupination-external rotation

Identifiers

PMID38937167
PMCPMC11973670

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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.