Evidence map›Paper›PMID 41158204›Full record

ReviewJournal of experimental orthopaedics2025

Return to sport in athletes after surgical ankle fractures: A systematic review.

Giovan Giuseppe Mazzella, Guido Bocchino, Andrea De Fazio, Giacomo Capece, Fabrizio Forconi, Giulio Maccauro, Raffaele Vitiello

Abstract readReview
In one paragraph

Review in Journal of experimental orthopaedics, 2025. 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. Review
  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.

Giovan Giuseppe MazzellaDepartment of Orthopedics and Geriatric Sciences Catholic University of the Sacred Heart Rome Italy.ORCID https://orcid.org/0000-0002-1230-9537
Guido BocchinoDepartment of Orthopedics and Geriatric Sciences Catholic University of the Sacred Heart Rome Italy.
Andrea De FazioDepartment of Orthopedics and Geriatric Sciences Catholic University of the Sacred Heart Rome Italy.
Giacomo CapeceDepartment of Orthopedics and Geriatric Sciences Catholic University of the Sacred Heart Rome Italy.
Fabrizio ForconiVilla Stuart Sport Clinic, FIFA Medical Center of Excellence Rome Italy.
Giulio MaccauroDepartment of Orthopedics and Geriatric Sciences Catholic University of the Sacred Heart Rome Italy.
Raffaele VitielloDepartment of Orthopedics and Geriatric Sciences Catholic University of the Sacred Heart Rome Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Ankle fractures represent a significant health concern for athletes, comprising 15%-25% of all sports-related injuries. With increasing sports participation across all age groups, the public health impact of these injuries is expected to grow. Open reduction and internal fixation (ORIF) is a common approach to managing ankle fractures, particularly for athletes requiring rapid return to sports. However current information on the return to sports post-injury is largely anecdotal. Methods: A comprehensive literature search was conducted using keywords related to ankle fractures and sports return. Databases searched included Medline (PubMED), Cochrane and Google Scholar up to 12 April 2024. Articles published in English, Spanish, French, Portuguese, and Italian were considered. A total of 17 studies involving 1422 patients were analysed. Inclusion criteria covered randomised controlled trials and case series of over 10 patients focused on athletes with closed ankle fractures. Studies on paediatric fractures, soft tissue injuries, and non-sports-related fractures were excluded. Results: The review analysed various types of ankle fractures, with an average patient age of 31.4 years. ORIF was the predominant treatment (89.4%), and the average return-to-sport rate was 87.1%. Time to return varied, with an average of 134.5 days. Recovery time was longer for more severe fractures, such as bimalleolar and trimalleolar fractures, which showed times of up to 720 days. Functional outcomes improved with early rehabilitation, and the average Foot and Ankle Outcome Score (FAOS) for sports was 85.6 after 12 months. Conclusion: Returning to sports after an ankle fracture is a critical concern for athletes. This systematic review provides valuable insights into the prognosis and timeline for resuming sports activities. By synthesising current evidence, it offers guidance for clinicians and athletes on managing recovery and optimising return to sports. Standardised, high-quality studies are needed to provide clearer guidelines. Level of Evidence: Level III. For Clinical Trials: PROSPERO registration number 594839.

Indexed as

anklefracturesORIFrehabilitationreturn to sport

Identifiers

PMID41158204
PMCPMC12558590

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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.