Evidence map›Paper›PMID 41246711›Full record

ReviewCureus2025

Posterior Malleolar Fractures: From the "Forgotten Fragment" to Modern Concepts in Management.

Ahmed Mohamed, Usman Fuad, Alaa Elasad, Sagaurav Shrestha, Aasim Hagroo, Ioannis P Pengas

Abstract readReview
In one paragraph

Review in Cureus, 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. 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

6 authors.

Ahmed MohamedTrauma and Orthopaedics, Royal Cornwall Hospitals NHS Trust, Truro, GBR.
Usman FuadTrauma and Orthopaedics, Royal Cornwall Hospitals NHS Trust, Truro, GBR.
Alaa ElasadGeneral Practice, Zagazig University, Zagazig, EGY.
Sagaurav ShresthaTrauma and Orthopaedics, Royal Cornwall Hospitals NHS Trust, Truro, GBR.
Aasim HagrooTrauma and Orthopaedics, Royal Cornwall Hospitals NHS Trust, Truro, GBR.
Ioannis P PengasTrauma and Orthopaedics, Royal Cornwall Hospitals NHS Trust, Truro, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Posterior malleolar fractures (PMFs) affect ankle stability and patient prognosis. The posterior malleolus (PM) provides an articular surface, syndesmotic stability, and tibiotalar joint stability. Computed tomography (CT) scanning has changed the practice from size-based management to understanding the bigger picture, which includes considering fragment morphology, articular involvement, and syndesmotic stability. Treatment options range from conservative management in specific populations and fracture patterns to operative management for complex fractures that affect ankle joint integrity. Operative management options are controversial among orthopaedic surgeons. This focused review examines the anatomy, diagnosis, and various management strategies for PMFs.

Indexed as

direct posterior fixationposterior inferior tibiofibular ligamentposterior malleolus fracturepost-traumatic ankle joint osteoarthritissyndesmotic instabilitytrimalleolar fracture

Identifiers

PMID41246711
PMCPMC12618896

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.