Concomitant Chondral or Osteochondral Lesions Frequency and Impact on Clinical Prognosis in Cases of Acute Ankle Fractures: A Comprehensive Systematic Review
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Abstract
Background: This study aims to provide concomitant chondral or osteochondral lesions frequency and impact on clinical prognosis in cases of acute ankle fractures. Methods: Following PRISMA 2020 guidelines, this systematic review focused exclusively on full-text articles published in English between 2014 and 2024. Result: The study conducted a comprehensive review of over 100 publications sourced from reputable databases, including ScienceDirect, SagePub, and PubMed. Following an initial screening, five publications were identified as warranting more in-depth analysis. Consequently, a thorough review of these selected studies was performed to ensure a detailed and rigorous evaluation. Conclusion: After ankle fractures, CL and/or OCL are highly common. However, depending on the type of fracture and the diagnostic technique, there is some fluctuation in the incidence of CL and/or OCL. After ankle fractures, the clinical outcome as measured by AOFAS/FAOS showed comparable values irrespective of the existence of CL and/or OCL.