Evidence map›Paper›PMID 40502876›Full record

ArticleCureus2025

Functional and Radiological Outcomes of Medial Malleolus Fracture Fixation Using Headless Compression Screws.

Nikhilesh Das, Suman S Mishra, Anuraag Mohanty, Dhananjay Sahoo

Abstract read
In one paragraph

Article in Cureus, 2025. 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. 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

4 authors.

Nikhilesh DasDepartment of Orthopaedics, Peerless Hospital and B.K. Roy Research Center, Kolkata, IND.
Suman S MishraDepartment of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.
Anuraag MohantyDepartment of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.
Dhananjay SahooDepartment of Orthopaedics, Apollo Hospitals, Bhubaneswar, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMedial malleolar fractures frequently accompany ankle fractures and demand precise anatomical reduction for optimal outcomes. Several fixation techniques have been employed, including partially threaded unicortical lag screws, which, despite their ease of use, are associated with reduced torque resistance and increased screw loosening. Alternatively, partially threaded cancellous screws with or without washers have also been utilized to achieve stable fixation in medial malleolar injuries.

objectiveThis study aimed to evaluate and compare the radiological and functional outcomes of medial malleolar fractures in ankle fracture cases managed using headless compression screw fixation. SUBJECTS AND

methodsA total of 47 patients were included in this retrospective study conducted over a 30-month period. Preoperative assessments included detailed clinical histories, injury mechanism analysis, and imaging investigations. Postoperative follow-up extended to 30 months. Clinical outcomes were assessed using the Baird and Jackson Scoring System (BJS) and the American Orthopaedic Foot and Ankle Society (AOFAS) Hindfoot Score.

resultsAmong the 47 patients, 37 patients (78.7%) achieved AOFAS scores above 90, reflecting excellent functional outcomes, while 10 patients (21.3%) scored between 80 and 90, indicating good results. Additionally, 18 patients (38.2%) attained BJS scores greater than 95, corresponding to excellent outcomes in terms of pain relief, mobility, and radiological union.

conclusionHeadless cannulated compression screw fixation demonstrates high efficacy in the treatment of medial malleolar fractures, offering a reliable alternative to conventional fixation techniques with favourable radiological and functional outcomes.

Indexed as

ankle fracturesbaird and jackson scoreheadless compression screw fixationmedial malleolar fracturesradiological outcomes

Identifiers

PMID40502876
PMCPMC12152220

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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.