{"id":"W4410610824","doi":"10.1016/j.injury.2025.112453","title":"Should all unstable ankle fractures with a small posterior malleolar fracture have lateral, syndesmotic and posterior malleolar fixation?","year":2025,"lang":"en","type":"article","venue":"Injury","topic":"Foot and Ankle Surgery","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"Calgary General Hospital; Foothills Medical Centre","funders":"","keywords":"Ankle; Syndesmosis; Medicine; Geology; Fixation (population genetics); Orthodontics; Fracture (geology); Surgery; Fibula; Tibia; Geotechnical engineering","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.000230743,0.0003978402,0.0006028513,0.0003015337,0.0001621494,0.0001536133,0.0001397556,0.0003318926,0.0004842507],"category_scores_gemma":[0.0000786096,0.0002983737,0.0001153123,0.0001987105,0.0001357846,0.0002368625,0.0001214184,0.0005590954,0.00002206045],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0000589388,"about_ca_system_score_gemma":0.0002008615,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0001872318,"about_ca_topic_score_gemma":0.0001190961,"domain_scores_codex":[0.9982094,0.00007189543,0.0004033834,0.0005408882,0.0002780535,0.0004963983],"domain_scores_gemma":[0.9988692,0.0001188796,0.0001352375,0.0005019193,0.0001648912,0.000209872],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.007030502,0.0006698911,0.9011334,0.001460663,0.001258117,0.001438329,0.001803715,0.00001760879,0.03739083,0.00006854942,0.02497772,0.0227507],"study_design_scores_gemma":[0.004129411,0.001839543,0.7499992,0.002324819,0.0008365373,0.0007192296,0.0004903936,0.000243584,0.01597215,0.0004725068,0.2219706,0.001002013],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9836478,0.002009468,0.00007417545,0.01147791,0.0002125923,0.0006471814,0.00003708462,0.0001496252,0.001744211],"genre_scores_gemma":[0.9740596,0.00009763714,0.0009507641,0.0179133,0.000139625,0.00003523986,0.0001058264,0.00005459628,0.006643438],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1969928,"threshold_uncertainty_score":0.9999468,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01863343284967304,"score_gpt":0.2850964296787649,"score_spread":0.2664629968290919,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}