ArticleFoot & ankle specialist2026
Timing of Fracture Fixation in Ankle Fracture-Dislocations.
Article in Foot & ankle specialist, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Temporising external fixation reduces loss of reduction compared with plaster splinting in ankle fracture-dislocations: a systematic review and meta-analysis of cohort studies.Archives of orthopaedic and trauma surgery · 2026Pooled it
- Minimally Invasive Intramedullary Fixation vs Plate Fixation of Distal Fibular Fractures in Elderly Patients: A Natural Experiment.Foot & ankle international · 2026Article
- Impact of surgical timing on wound complications following ankle fracture fixation: A 22-year retrospective cohort study.Journal of clinical orthopaedics and trauma · 2026Article
- Management of Ankle Fractures: Does the Timing of Surgical Intervention Have an Impact on Patient Outcomes?Cureus · 2025Article
- Article
- Post-operative infection following ankle fracture surgery: a current concepts review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Review
- Predicting surgical site infections after open reduction and internal fixation for ankle fractures.Archives of orthopaedic and trauma surgery · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Ankle fracture-dislocations may require delayed internal fixation. Our aim was to compare acute open reduction and internal fixation (ORIF) with delayed ORIF, using external fixation or cast splint in ankle fracture-dislocations. Factors that affect the rates of re-operation and Surgical site infection (SSI) were identified. In this retrospective cohort study, patients were included with open and closed ankle fracture-dislocations treated with ORIF from two large peripheral hospitals and one academic center in the Netherlands. This study included 447 patients with an ankle fracture-dislocation. In the multivariate analysis, the difference between surgery <48 hours compared to bridging with cast or external fixation had no significant influence on unscheduled re-operation or SSI. Higher body mass index (BMI) and open fractures had a significant positive correlation with re-operation while diabetes mellitus (DM) and open fractures correlated with SSI. In patients with open fractures, there was also no significant difference in outcome between acute or delayed internal fixation. We suggest that it is safe to perform primary ORIF on all dislocated ankle fractures if the soft tissue injury allows surgery within 48 hours. When significant swelling is present, patients with well-reduced fractures and with no soft tissue injury could be treated safely with a cast until delayed ORIF is possible.
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Registered trials
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.