ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2026
Tibial shaft fractures with associated syndesmotic injury: a retrospective comparative analysis of 113 patients.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to compare clinical outcomes following intramedullary nailing (IMN) of tibial shaft fractures with an associated, operatively treated distal syndesmotic injury to isolated tibial shaft fractures treated with IMN.
methodsPatients treated with IMN for a tibial shaft fracture with concomitant operative repair of a syndesmotic injury between 2010 and 2024 were identified from an institutional database of two Level 1 trauma centers. A comparison cohort of patients treated with IMN for isolated tibial shaft fractures was identified from a previously published database spanning 2021–2023. The primary outcome was the rate of postoperative complications (infection, reoperation, malunion, and nonunion).
resultsTwenty-four patients who underwent IMN for a tibial shaft fracture with concomitant operative repair of a syndesmotic injury and 89 patients who underwent IMN for an isolated tibial shaft fracture were identified. The overall median age was 39 years (IQR: 28–55), 60 patients (53%) were male, and 34 (30%) fractures were open. Patient and injury characteristics were not significantly different between groups. Patients with associated syndesmotic injury were recommended non-weightbearing more often (79% vs. 36%, p < 0.001). Patients with concomitant operative repair of a syndesmotic injury had 3.9-fold increased odds of undergoing symptomatic implant removal compared to isolated injuries (95% CI 1.14–13.2, p = 0.027). Odds of reoperation for deep and superficial infection, and rates of nonunion and malunion were similar between groups.
conclusionsPatients undergoing intramedullary nailing for tibial shaft fractures with an associated, operatively treated distal syndesmotic injury should be educated on the higher odds of undergoing implant removal compared to isolated tibial shaft fractures. The observed rate of implant removal was similar to those reported following syndesmotic fixation for ankle injuries. Other complication rates, including nonunion, malunion, and infection, were similar.
Indexed as
Identifiers
41627581What OpenQuestion holds
Registered trials
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.