{"id":"https://openalex.org/W4319965853","doi":"https://doi.org/10.1302/1358-992x.2023.2.082","title":"MACROSCOPIC OSTEOCHONDRAL INJURIES OF THE TALAR DOME ASSOCIATED WITH PILON FRACTURES","display_name":"MACROSCOPIC OSTEOCHONDRAL INJURIES OF THE TALAR DOME ASSOCIATED WITH PILON FRACTURES","publication_year":2023,"publication_date":"2023-02-01","ids":{"openalex":"https://openalex.org/W4319965853","doi":"https://doi.org/10.1302/1358-992x.2023.2.082"},"language":"en","primary_location":{"id":"doi:10.1302/1358-992x.2023.2.082","doi":"https://doi.org/10.1302/1358-992x.2023.2.082","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1302/1358-992x.2023.2.082","pdf_url":null,"source":{"id":"https://openalex.org/S4387287184","display_name":"Orthopaedic Proceedings","issn_l":"1358-992X","issn":["1358-992X","2049-4416"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopaedic Proceedings","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5083967633","display_name":"Kevin D. Tetsworth","orcid":"https://orcid.org/0000-0002-3069-4141","observed_orcids":["https://orcid.org/0000-0002-3069-4141"]},"institutions":[{"id":"https://openalex.org/I2799393793","display_name":"Royal Brisbane and Women's Hospital","ror":"https://ror.org/05p52kj31","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2799393793","https://openalex.org/I2801244131"]},{"id":"https://openalex.org/I4405269172","display_name":"Metro North Hospital and Health Service","ror":"https://ror.org/03a0hqz22","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I4405269172"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"K. Tetsworth","raw_affiliation_strings":["Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia","Department of Orthopaedics, University of Texas Health Science Center, Texas, USA","Herston Biofabrication Institute, Metro North Health, Brisbane, Australia","Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia; Department of Orthopaedics, University of Texas Health Science Center, Texas, USA; Herston Biofabrication Institute, Metro North Health, Brisbane, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia","institution_ids":["https://openalex.org/I2799393793"]},{"raw_affiliation_string":"Department of Orthopaedics, University of Texas Health Science Center, Texas, USA","institution_ids":[]},{"raw_affiliation_string":"Herston Biofabrication Institute, Metro North Health, Brisbane, Australia","institution_ids":["https://openalex.org/I4405269172"]},{"raw_affiliation_string":"Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia; Department of Orthopaedics, University of Texas Health Science Center, Texas, USA; Herston Biofabrication Institute, Metro North Health, Brisbane, Australia","institution_ids":["https://openalex.org/I2799393793","https://openalex.org/I4405269172"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060561227","display_name":"Nicholas Green","orcid":"https://orcid.org/0000-0003-2841-3141","observed_orcids":["https://orcid.org/0000-0003-2841-3141"]},"institutions":[{"id":"https://openalex.org/I2799393793","display_name":"Royal Brisbane and Women's Hospital","ror":"https://ror.org/05p52kj31","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2799393793","https://openalex.org/I2801244131"]},{"id":"https://openalex.org/I4405269172","display_name":"Metro North Hospital and Health Service","ror":"https://ror.org/03a0hqz22","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I4405269172"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"N. Green","raw_affiliation_strings":["Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia","Herston Biofabrication Institute, Metro North Health, Brisbane, Australia","Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia; Herston Biofabrication Institute, Metro North Health, Brisbane, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia","institution_ids":["https://openalex.org/I2799393793"]},{"raw_affiliation_string":"Herston Biofabrication Institute, Metro North Health, Brisbane, Australia","institution_ids":["https://openalex.org/I4405269172"]},{"raw_affiliation_string":"Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia; Herston Biofabrication Institute, Metro North Health, Brisbane, Australia","institution_ids":["https://openalex.org/I2799393793","https://openalex.org/I4405269172"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088637189","display_name":"G. Barlow","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799393793","display_name":"Royal Brisbane and Women's Hospital","ror":"https://ror.org/05p52kj31","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2799393793","https://openalex.org/I2801244131"]},{"id":"https://openalex.org/I4405281334","display_name":"Australian Defence Force","ror":"https://ror.org/047fqap31","country_code":"AU","type":"government","lineage":["https://openalex.org/I2801453606","https://openalex.org/I4405281334"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"G. Barlow","raw_affiliation_strings":["Australian Army, Australian Defence Force, Brisbane, Australia","Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia","Australian Army, Australian Defence Force, Brisbane, Australia; Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Australian Army, Australian Defence Force, Brisbane, Australia","institution_ids":["https://openalex.org/I4405281334"]},{"raw_affiliation_string":"Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia","institution_ids":["https://openalex.org/I2799393793"]},{"raw_affiliation_string":"Australian Army, Australian Defence Force, Brisbane, Australia; Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia","institution_ids":["https://openalex.org/I2799393793","https://openalex.org/I4405281334"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050570692","display_name":"Miran Stubican","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799393793","display_name":"Royal Brisbane and Women's Hospital","ror":"https://ror.org/05p52kj31","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2799393793","https://openalex.org/I2801244131"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"M. Stubican","raw_affiliation_strings":["Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia","institution_ids":["https://openalex.org/I2799393793"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012981706","display_name":"F. Vindenes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799393793","display_name":"Royal Brisbane and Women's Hospital","ror":"https://ror.org/05p52kj31","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2799393793","https://openalex.org/I2801244131"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"F. Vindenes","raw_affiliation_strings":["Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia","institution_ids":["https://openalex.org/I2799393793"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5059087097","display_name":"V. Glatt","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799393793","display_name":"Royal Brisbane and Women's Hospital","ror":"https://ror.org/05p52kj31","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2799393793","https://openalex.org/I2801244131"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"V. Glatt","raw_affiliation_strings":["Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia","Department of Orthopaedics, University of Texas Health Science Center, Texas, USA","Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia; Department of Orthopaedics, University of Texas Health Science Center, Texas, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia","institution_ids":["https://openalex.org/I2799393793"]},{"raw_affiliation_string":"Department of Orthopaedics, University of Texas Health Science Center, Texas, USA","institution_ids":[]},{"raw_affiliation_string":"Department of Orthopaedic Surgery, Royal Brisbane and Women's Hospital, Brisbane, Australia; Department of Orthopaedics, University of Texas Health Science Center, Texas, USA","institution_ids":["https://openalex.org/I2799393793"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"105-B","issue":"SUPP_2","first_page":"82","last_page":"82"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.9692000150680542,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.9692000150680542,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10455","display_name":"Foot and Ankle Surgery","score":0.020500000566244125,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11427","display_name":"Elbow and Forearm Trauma Treatment","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tibial-pilon-fractures","display_name":"tibial pilon fractures","score":0.9629999995231628},{"id":"https://openalex.org/keywords/osteochondral-lesions","display_name":"osteochondral defects","score":0.9070000052452087},{"id":"https://openalex.org/keywords/distal-tibia-fractures","display_name":"distal tibial fractures","score":0.656000018119812},{"id":"https://openalex.org/keywords/statistical-shape-models","display_name":"statistical shape models","score":0.8519999980926514},{"id":"https://openalex.org/keywords/motor-vehicle-accidents","display_name":"motor vehicle accidents","score":0.7409999966621399},{"id":"https://openalex.org/keywords/falls","display_name":"falls","score":0.8500000238418579},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.8080000281333923}],"concepts":[{"id":"https://openalex.org/C189092281","wikidata":"https://www.wikidata.org/wiki/Q3236743","display_name":"Dome (geology)","level":2,"score":0.7553149461746216},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5766870379447937},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.50050950050354},{"id":"https://openalex.org/C2778640784","wikidata":"https://www.wikidata.org/wiki/Q168002","display_name":"Ankle","level":2,"score":0.472971111536026},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.4508133828639984},{"id":"https://openalex.org/C127313418","wikidata":"https://www.wikidata.org/wiki/Q1069","display_name":"Geology","level":0,"score":0.4271341860294342},{"id":"https://openalex.org/C2779384505","wikidata":"https://www.wikidata.org/wiki/Q17007513","display_name":"Concomitant","level":2,"score":0.420652836561203},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4058230519294739},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1302/1358-992x.2023.2.082","doi":"https://doi.org/10.1302/1358-992x.2023.2.082","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1302/1358-992x.2023.2.082","pdf_url":null,"source":{"id":"https://openalex.org/S4387287184","display_name":"Orthopaedic Proceedings","issn_l":"1358-992X","issn":["1358-992X","2049-4416"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopaedic Proceedings","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.8371999859809875,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4321613002","https://openalex.org/W7087101268","https://openalex.org/W2332098751","https://openalex.org/W248714979","https://openalex.org/W1976672493","https://openalex.org/W4234942714","https://openalex.org/W4386830645","https://openalex.org/W2079677722","https://openalex.org/W3164981258","https://openalex.org/W7135309695"],"abstract_inverted_index":{"Tibial":[0],"pilon":[1,26,56,264],"fractures":[2,15,29,57,154,158,265],"are":[3,17,214],"typically":[4],"the":[5,37,41,74,81,89,106,185,205,209,212,221,224,231,240,244,271,276],"result":[6],"of":[7,40,67,76,80,88,101,135,146,176,187,208,211,243,270,278],"high-energy":[8,263],"axial":[9],"loads,":[10],"with":[11,152,173],"complex":[12],"intra-":[13],"articular":[14,206],"that":[16],"often":[18],"difficult":[19],"to":[20,72,109,204,274],"reconstruct":[21],"anatomically.":[22],"Only":[23],"nine":[24],"simultaneous":[25],"and":[27,64,94,129,171,195,217,230,248,252],"talus":[28,213],"have":[30],"been":[31],"published":[32],"previously,":[33],"but":[34],"we":[35],"hypothesised":[36],"chondral":[38],"surface":[39,207],"dome":[42,148,210,245,273],"is":[43],"affected":[44],"more":[45,165,256],"frequently.":[46],"Data":[47,114],"was":[48,115,150,189],"acquired":[49],"prospectively":[50],"from":[51],"154":[52,122],"acute":[53],"distal":[54],"tibial":[55],"(AO/OTA":[58],"43B/C)":[59],"in":[60,91,112,141,167,184,246],"adults.":[61],"Radiographs,":[62],"photographs,":[63],"intra-operative":[65],"drawings":[66],"each":[68,92],"case":[69,93],"were":[70,86,125,133,139,164,237,255],"utilised":[71],"document":[73],"presence":[75],"any":[77],"macroscopic":[78,137,280],"injuries":[79,90,138,177,188,203,236],"talus.":[82],"Detailed":[83],"1x1mm":[84],"maps":[85],"created":[87],"transposed":[95],"onto":[96],"a":[97,102,118],"statistical":[98],"shape":[99],"model":[100],"talus;":[103],"this":[104,218],"enables":[105],"cumulative":[107],"data":[108],"be":[110],"analysed":[111,116],"Excel.":[113],"using":[117],"Chi-squared":[119],"test.":[120],"From":[121],"cases,":[123],"104":[124],"considered":[126],"at":[127],"risk":[128],"their":[130],"talar":[131,147,272],"domes":[132],"inspected;":[134],"these,":[136],"identified":[140,191],"55":[142],"(52.4%).":[143],"The":[144],"prevalence":[145],"injury":[149],"greater":[151],"B-type":[153],"(53.5%)":[155],"than":[156,169],"C-type":[157],"(31.5%)":[159],"(\u03c1":[160,178,199],"=":[161,179,200],".01).":[162],"Injuries":[163],"common":[166],"men":[168,247],"women":[170,251],"presented":[172],"different":[174],"distribution":[175,186],".032).":[180],"A":[181],"significant":[182],"difference":[183],"also":[190],"when":[192],"comparing":[193],"falls":[194],"motor":[196],"vehicle":[197],"accidents":[198],".007).":[201],"Concomitant":[202],"relatively":[215],"common,":[216],"perhaps":[219],"explains":[220],"discordance":[222],"between":[223],"post-operative":[225],"appearance":[226],"following":[227],"internal":[228],"fixation":[229],"clinical":[232],"outcomes":[233],"observed.":[234],"These":[235],"focused":[238],"on":[239],"lateral":[241],"third":[242],"MVAs,":[249],"whereas":[250],"fall":[253],"mechanism":[254],"evenly":[257],"distributed.":[258],"Surgeons":[259],"who":[260],"operatively":[261],"manage":[262],"should":[266],"consider":[267],"routine":[268],"inspection":[269],"assess":[275],"possibility":[277],"associated":[279],"osteochondral":[281],"injuries.":[282]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2023-02-11T00:00:00"}
