Evidence map›Paper›PMID 39690263›Full record

ArticleUnfallchirurgie (Heidelberg, Germany)2025

[Navigated and minimally invasive screw osteosynthesis of a talus fracture].

Dominik M Haida, Thorsten Möhlig, Stefan Huber-Wagner

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In one paragraph

Article in Unfallchirurgie (Heidelberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
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  5. Review
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

3 authors.

Dominik M HaidaKlinik für Unfallchirurgie, Technische Universität München, Klinikum rechts der Isar, Ismaninger Straße 22, 81675, München, Deutschland.
Thorsten MöhligKlinik für Unfallchirurgie, Wirbelsäulenchirurgie und Alterstraumatologie, Diakonie-Klinikum Schwäbisch Hall, Diakoniestraße 10, 74523, Schwäbisch Hall, Deutschland.
Stefan Huber-WagnerKlinik für Unfallchirurgie, Technische Universität München, Klinikum rechts der Isar, Ismaninger Straße 22, 81675, München, Deutschland. s.huber-wagner@tum.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objective of surgeryThe aim of this surgery is to safeguard the multifragmentary and nondisplaced talus fracture (body and neck) against secondary dislocation in a navigated and minimally invasive manner using screw osteosynthesis. INDICATIONS: Due to the young age of the patient in the presented case and the risk of a possible secondary dislocation, the decision was made in favor of surgical treatment. CONTRAINDICATIONS: Soft tissue swelling, wound infections and allergies to the osteosynthesis material. SURGICAL TECHNIQUE: The video is available online (in English) and shows the individual surgical steps in detail. Preoperative computed tomography (CT) imaging and screw planning. Attachment of the reference array. 1) Cone beam CT (CBCT) scan, image fusion and fusion control. Planning of the minimally invasive skin incisions. Skin incision, navigated drilling and insertion of the K‑wires. 2) CBCT scan and position check of the K‑wires, fine adjustment if necessary. Insertion of the screws. 3) CBCT scan with subsequent position check of the screws, retightening of the screws if necessary. Performed in the Robotic Suite (Brainlab, Munich, Germany) using the following elements: navigation unit curve navigation system, movable robotic 3D CBCT, "Loop-X" and wall monitor "BUZZ". FOLLOW-UP: Postoperative X‑ray and CT to control the position of the implants. Partial weight-bearing of the foot with 10 kg sole contact for 6 weeks. Physiotherapy with active and passive joint mobilization. Thrombosis prophylaxis with enoxaparin sodium. Optional implant removal after approximately 1 year. EVIDENCE: Navigated operations are routine, so far mainly in the area of the spine. This article shows that navigated extremity surgery can be successfully performed in hybrid operating theaters.

Indexed as

Bone ScrewsFracture Fixation, InternalFractures, BoneMinimally Invasive Surgical ProceduresSurgery, Computer-AssistedTalusCone-Beam Computed TomographyHumansFootHybrid operating roomNavigationTalusTrauma surgery

Identifiers

PMID39690263
PMCPMC11735484

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.