Evidence map›Paper›PMID 42326208›Full record

ReviewCureus2026

Complication Profile of Open Calcaneal Fractures: A Systematic Review of Vascular Injury Reporting and Clinical Outcomes.

Manahil Awan, Karthika Kalissery Biju Chandrasekhar, Mohammed Elfatih Elbadri, Anwar Al-Kassar, Shashwat Shetty, Nnaemeka C Onyia, Haleema Sadia

Abstract readReview
In one paragraph

Review in Cureus, 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

7 authors.

Manahil AwanTrauma and Orthopaedics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR.
Karthika Kalissery Biju ChandrasekharTrauma and Orthopaedics, The Hillingdon Hospitals NHS Foundation Trust, London, GBR.
Mohammed Elfatih ElbadriOrthopaedics, Khor Fakkan Hospital, Emirates Health Services (EHS), Sharjah, ARE.
Anwar Al-KassarVascular Surgery, Countess of Chester Hospital, Chester, GBR.
Shashwat ShettyOrthopaedics, Hillingdon Hospital, Uxbridge, GBR.
Nnaemeka C OnyiaGeneral Surgery, NES Healthcare, London, GBR.
Haleema SadiaSurgery, Allama Iqbal Medical College, Multan, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Open calcaneal fractures are rare, high-energy injuries associated with severe soft tissue damage and a high risk of complications. This systematic review evaluated complication patterns and vascular injury reporting in open calcaneal fractures. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-guided search of PubMed, Embase, Scopus, and the Cochrane Library identified four eligible studies, including a total of 455 patients. Data were extracted on vascular injury, infection, amputation, reoperation, and functional outcomes, and a narrative synthesis was performed due to heterogeneity. Posterior tibial artery injury was reported in limited cases, while dorsalis pedis artery injury was not documented. Overall complication rates were high, including superficial infection up to 9.6%, deep infection up to 12.2%, osteomyelitis at 5.2%, and amputation rates between 5% and 8%. One large cohort reported wound-related revision in nearly half of the cases. Vascular assessment was inconsistently reported and rarely supported by imaging. These findings highlight a significant complication burden and a persistent gap in the standardised evaluation of arterial injury in open calcaneal fractures.

Indexed as

complicationsdorsalis pedis arteryopen calcaneal fractureposterior tibial arteryvascular injury

Identifiers

PMID42326208
PMCPMC13278754

What OpenQuestion holds

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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.