{"id":"W4416210722","doi":"10.1302/1358-992x.2025.13.088","title":"DEVELOPMENT OF A SURGICAL DIFFICULTY SCORE FOR OPEN REDUCTION INTERNAL FIXATION OF PILON FRACTURES","year":2025,"lang":"en","type":"article","venue":"Orthopaedic Proceedings","topic":"Bone fractures and treatments","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Toronto","funders":"","keywords":"Orthopedic surgery; Internal fixation; Cohort; Reduction (mathematics); Pilon fracture; Retrospective cohort study; Ankle; Fixation (population genetics); Intramedullary rod","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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.002036028,0.0006581845,0.0005172545,0.002835911,0.0002629481,0.0007751683,0.0006287475,0.0004492747,0.001863917],"category_scores_gemma":[0.01323034,0.0002623606,0.0009923606,0.001052206,0.0003437592,0.0009256084,0.001054785,0.0006813036,0.0003870669],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0005601953,"about_ca_system_score_gemma":0.0005363189,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001927521,"about_ca_topic_score_gemma":0.00369027,"domain_scores_codex":[0.9987108,0.0003007151,0.0003361102,0.0001039246,0.0004583719,0.00009021041],"domain_scores_gemma":[0.9953178,0.001265826,0.002228697,0.0001798431,0.0007573223,0.0002504181],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"not_applicable","study_design_scores_codex":[0.0001111211,0.00006879428,0.9863372,0.00002464764,0.00005564742,0.00004571164,0.00004743938,0.001009965,0.0002383727,0.00004704714,0.0002951758,0.01171892],"study_design_scores_gemma":[0.00002604241,0.0006390181,0.9825645,0.00004489002,0.00004452497,0.0004290846,0.000244347,0.01478541,0.0005722058,0.0001460118,0.00048247,0.00002153384],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"methods","genre_scores_codex":[0.9936091,0.0001103334,0.004227129,0.00008780299,0.00002799445,0.0001578374,0.0006382183,0.00004818296,0.00109351],"genre_scores_gemma":[0.9928281,0.00007858987,0.005877681,0.00001675094,0.00001758006,0.0001260774,0.0008391927,0.000007552254,0.0002083925],"genre_candidate":"methods","genre_consensus":null,"teacher_disagreement_score":0.002835911,"threshold_uncertainty_score":0.0107677,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02309639951907974,"score_gpt":0.3248232674148193,"score_spread":0.3017268678957395,"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."}}