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Record W4409879468 · doi:10.1016/j.tcr.2025.101175

Fixation of fibular head avulsion fractures with the proximal tibiofibular screw: Technique guide and clinical experience

2025· article· en· W4409879468 on OpenAlexaff
Ryan Paul, Shu Yang Hu, Ananya Pathak, Ryan Khan, Daniel B. Whelan

Bibliographic record

VenueTrauma Case Reports · 2025
Typearticle
Languageen
FieldMedicine
TopicBone fractures and treatments
Canadian institutionsSt. Michael's HospitalWomen's College HospitalUniversity of TorontoUniversity Health Network
Fundersnot available
KeywordsAvulsionMedicineFixation (population genetics)Avulsion fractureSurgeryOrthodonticsFibulaTibia

Abstract

fetched live from OpenAlex

Background: Fibular head avulsion fractures are often associated with posterolateral corner injuries. Conventional fixation have consisted of transosseous or anchor-based suture techniques. Purpose: This technique paper reports on the use of a cannulated screw for fixation of fibular head avulsion fractures by a single surgeon at a tertiary referral center. Methods: Thirty-seven patients underwent open reduction and internal fixation of fibular head avulsion fractures between 2006 and 2022. Results: At final follow up (mean 3.5 years ± 2.5) all fractures went on to bony union. All patients regained functional range of motion with mean extension of 1 degree (median 0 degrees, range 0 to -5 degrees) and mean flexion of 121 degrees (median 127.5 degrees, range 90 to 135 degrees). Conclusion: Our results suggest that a cannulated screw across multiple cortices provides robust fixation and allows for early motion.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.189
Threshold uncertainty score0.320

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.017
GPT teacher head0.367
Teacher spread0.350 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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