Evidence map›Paper›PMID 41245782›Full record

Trial reportFoot & ankle orthopaedics2025

The Benefit of Repairing the Deltoid Ligament in Unstable Ankle Fractures: Patient-Reported Functional Outcome and Radiological Stability Measurements; a Clinical Trial Protocol.

Esten Konstad Haanæs, Frede Jon Frihagen, Greger Lønne, Aksel Paulsen, Jostein Skorpa Nilsen, Martin Greger Gregersen, Marius Molund

Abstract readClinical Trial
In one paragraph

Trial report in Foot & ankle orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Welcoming Clinical Trial Protocols toFoot & ankle orthopaedics · 2025
    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.

Esten Konstad HaanæsDepartment of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.ORCID https://orcid.org/0009-0004-0786-7229
Frede Jon FrihagenDepartment of Orthopaedic Surgery, Østfold Hospital Trust, Grålum, Norway.
Greger LønneDepartment of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.
Aksel PaulsenDepartment of Orthopaedic Surgery, Stavanger University Hospital, Stavanger, Norway.
Jostein Skorpa NilsenDepartment of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway.
Martin Greger GregersenDepartment of Physical Medicine and Rehabilitation, Østfold Hospital Trust, Grålum, Norway.ORCID https://orcid.org/0000-0001-9941-4518
Marius MolundDepartment of Orthopaedic Surgery, Østfold Hospital Trust, Grålum, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Suturing the deep posterior deltoid ligament in unstable ankle fractures is novel to established treatment. Some cadaveric and clinical trials support that adding deltoid ligament repair to plating of the lateral fracture will improve stability restoration. Objectives: We will investigate the effects of deep deltoid ligament repair on patient-reported function, radiologic stability parameters, and the incidence of ankle osteoarthritis and the possible side effects from this additional procedure. The medial ankle injury patterns found will be described. Study design: A randomised controlled nonblinded multicentre trial. Methods: A total of 120 patients with Lauge Hansen SER 4B ankle fractures will be randomised (1:1 ratio) to conventional plating of the lateral malleolus only or additional suture of the deep deltoid ligament. The primary end point was patient-reported function measured in Olerud-Molander Ankle Score (OMAS) at 1 and 2 years. The secondary end points included Self-Reported Foot and Ankle Score (SEFAS), Ankle Fracture Outcome of Rehabilitation Measure (A-FORM), VAS pain, and EuroQol-5D-5L scores; rates of treatment-related adverse events, reoperations, and incidence of posttraumatic arthritis; and comparison of side-to-side differences in tibiotalar medial clear space from bilateral weightbearing ankle radiographs and gravity stress on group level.

Indexed as

ankle fracturesdeltoid ligamentOutcome studiesposttraumatic arthritisrandomised controlled trialresearch protocolsportstraumaweightbearing radiographs

Identifiers

PMID41245782
PMCPMC12615956

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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.