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Surgical treatment of ankle fracture with or without deltoid ligament repair: a comparative study

Overview of attention for article published in BMC Musculoskeletal Disorders, December 2017
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Title
Surgical treatment of ankle fracture with or without deltoid ligament repair: a comparative study
Published in
BMC Musculoskeletal Disorders, December 2017
DOI 10.1186/s12891-017-1907-4
Pubmed ID
Authors

Hong-Mou Zhao, Jun Lu, Feng Zhang, Xiao-Dong Wen, Yi Li, Ding-Jun Hao, Xiao-Jun Liang

Abstract

Deltoid ligament (DL) rupture is commonly seen in clinical practice; however the need to explore and surgically repair it is still in debate. The objective of the current study is to compare the outcomes of surgical treatment of ankle fracture with or without DL repair. Between 2009 and 2015, Seventy-four ankle fractures with DL rupture were identified and followed. Twenty patients were treated with surgical repair of the DL, while 54 were not. The pre- and post-operative medial clear space (MCS) were measured and the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score and visual analogue scale (VAS) were used for functional evaluation. According to the radiological malreduction of MCS, the odds ratio (OR) and 95% confidence interval (CI) for each potential relative factor were calculated. The mean followup time was 53.7 months. The mean MCS preoperatively, postoperatively, and at last followup time were 8.7 ± 2.4 (range, 6.2-14.8) mm, 3.7 ± 0.9 (range, 2.6-6.4) mm, 3.6 ± 1.0 (range, 2.6-6.8) mm, respectively. The mean AOFAS score was 86.4 ± 8.1 (range, 52-100) points, and the mean VAS was 1.4 ± 1.4 (range, 0-7) points. During followup, 14.9% (11/74) cases were found to be malreduced (MCS>5 mm), and 5.4% (4/74) went on to failure. Surgical repair of DL can significantly decrease the postoperative MCS (P<0.05), and can also decrease the malreduction rate (P<0.05). AO/OTA type-C ankle fractures showed a positive correlation with malreduction (OR = 4.38, P = 0.03). In this type of injury, surgical repair of the DL can significantly decrease the malreduction rate (P<0.05). No significant difference was found between the AO/OTA type-B fracture with or without DL repair. Surgical repair of the DL is helpful in decreasing the postoperative MCS and malreduction rate, especially for the AO/OTA type-C ankle fractures.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 65 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 65 100%

Demographic breakdown

Readers by professional status Count As %
Other 7 11%
Student > Master 7 11%
Student > Bachelor 7 11%
Student > Doctoral Student 6 9%
Researcher 6 9%
Other 11 17%
Unknown 21 32%
Readers by discipline Count As %
Medicine and Dentistry 33 51%
Nursing and Health Professions 3 5%
Engineering 3 5%
Physics and Astronomy 1 2%
Chemistry 1 2%
Other 1 2%
Unknown 23 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 January 2018.
All research outputs
#20,797,976
of 25,552,933 outputs
Outputs from BMC Musculoskeletal Disorders
#3,440
of 4,426 outputs
Outputs of similar age
#342,813
of 448,804 outputs
Outputs of similar age from BMC Musculoskeletal Disorders
#77
of 94 outputs
Altmetric has tracked 25,552,933 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,426 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.5. This one is in the 9th percentile – i.e., 9% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 448,804 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 13th percentile – i.e., 13% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 94 others from the same source and published within six weeks on either side of this one. This one is in the 10th percentile – i.e., 10% of its contemporaries scored the same or lower than it.