ArticleJournal of orthopaedic case reports2026
Bilateral Cedell Fractures of the Talus Associated with Ankle Fractures in a Polytrauma Patient: A Rare Injury Managed with Damage Control Orthopedics and Staged Fixation.
Article in Journal of orthopaedic case reports, 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
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Posteromedial talar process (Cedell) fractures are rare and frequently missed, particularly in polytrauma patients. Bilateral involvement is exceedingly uncommon and presents unique diagnostic and management challenges. Case Report: A 20-year-old male sustained bilateral posteromedial talar process fractures following a fall from height. Associated injuries included an L3 bony Chance fracture, a right ankle fracture-dislocation with a medial malleolar fracture, and a left distal tibial plafond fracture. Computed tomography (CT) confirmed bilateral posteromedial talar process fractures with extension into the subtalar joints. A staged damage-control orthopedic strategy was adopted. Initial management comprised spinal stabilization, temporary ankle-spanning external fixation, and fixation of the medial malleolar fracture. Following physiological optimization and soft-tissue recovery, definitive fixation of both talar fractures and the associated injuries was performed. At 6 months, complete radiological union was achieved bilaterally without evidence of avascular necrosis. The patient subsequently developed symptomatic post-traumatic arthritis of the right subtalar joint, which was managed with subtalararthrodesis and transosseous lateral ligament repair. At the 1-year follow-up, the patient was pain-free, demonstrated preserved ankle dorsiflexion and plantarflexion bilaterally, and had intact flexor hallucis longus function. His American Orthopaedic Foot and Ankle Society ankle-hindfoot score was 95, and he had returned to his pre-injury functional level. Conclusion: Bilateral Cedell fractures may be overlooked in patients with complex high-energy ankle injuries. Careful CT assessment and staged surgical management can achieve fracture union, preserve talar viability, and provide an excellent functional outcome. Post-traumatic subtalar arthritis may still occur despite fracture union and can be successfully addressed with an appropriate salvage procedure.
Indexed as
Identifiers
What 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.