Evidence map›Paper›PMID 42227236›Full record

ReviewEFORT open reviews2026

Surgical approaches for the treatment of posterior malleolar fracture: which one to choose?

Enrique Fernández-Rojas, Lily Fletcher, Mario Herrera-Pérez, Jesús Vilá-Rico

Abstract readReview
In one paragraph

Review in EFORT open reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Enrique Fernández-RojasFoot and Ankle Group, Traumatology and Orthopedics Unit, Las Higueras Hospital, Talcahuano, Chile.ORCID https://orcid.org/0000-0001-8815-0326
Lily FletcherTraumatology and Orthopedics Unit, Ribera Povisa Hospital, Vigo, Spain.ORCID https://orcid.org/0000-0002-5679-2604
Mario Herrera-PérezUnidad de Pie y Tobillo, Servicio de Traumatología y Cirugía Ortopédica, Hospital Universitario de Canarias, Santa Cruz de Tenerife, España.ORCID https://orcid.org/0000-0001-6188-5269
Jesús Vilá-RicoTraumatology and Orthopedics Unit, University Hospital October 12, Madrid, Spain.ORCID https://orcid.org/0000-0002-8558-0109

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evidence suggests that posterior approaches may be superior to the anterior percutaneous approach in terms of reduction quality and functional outcomes. There is no consensus regarding the definition of the posteromedial approach and its modifications, which can cause confusion when evaluating outcomes. Several variables must be considered when choosing a surgical approach, with particular importance given to the morphology of the posterior malleolus fracture, the presence of a complex fibula fracture, and the presence of Tillaux-Chaput or Le Fort-Wagstaffe fractures. This article provides an overview of approaches to posterior malleolus fractures and presents recommendations for approach selection in specific clinical scenarios.

Indexed as

ankle fractureposterior approachposterior malleolustreatmenttrimalleolar fracture

Identifiers

PMID42227236
PMCPMC13240627

What OpenQuestion holds

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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.