{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T07:06:58Z","timestamp":1782976018471,"version":"3.54.5"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Musculoskelet Surg"],"DOI":"10.1007\/s12306-026-00963-8","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T06:42:35Z","timestamp":1782974555000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison between early versus delayed (staged) plate fixation in the treatment of pilon (tibial plafond) fractures: a systematic review and meta-analysis"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1242-1084","authenticated-orcid":false,"given":"M. M.","family":"Siddig","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. H. J.","family":"Amin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Y. M.","family":"Eldouma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leina","family":"Elomeiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakshi","family":"Kumari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. H. J.","family":"Amin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. A.","family":"Eltayeb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashir","family":"Kanwal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"issue":"7","key":"963_CR1","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1177\/1071100714534214","volume":"35","author":"X Tang","year":"2014","unstructured":"Tang X, Liu L, Tu C, Li J, Li Q, Pei F (2014) Comparison of early and delayed open reduction and internal fixation for treating closed tibial pilon fractures. Foot Ankle Int 35(7):657\u2013664. https:\/\/doi.org\/10.1177\/1071100714534214","journal-title":"Foot Ankle Int"},{"key":"963_CR2","doi-asserted-by":"publisher","first-page":"101715","DOI":"10.1016\/j.jcot.2021.101715","volume":"24","author":"AW Reynolds","year":"2022","unstructured":"Reynolds AW, Garay M, Philp FH, Hammarstedt JE, Altman GT, Nwankwo CD (2022) Definitive fixation of open tibia fractures: does reopening the traumatic wound increase complication rates? J Clin Orthop Trauma 24:101715. https:\/\/doi.org\/10.1016\/j.jcot.2021.101715","journal-title":"J Clin Orthop Trauma"},{"key":"963_CR3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.7547\/25-087","volume":"9","author":"\u0130 G\u00fczel","year":"2025","unstructured":"G\u00fczel \u0130, Ulusoy \u0130, Y\u0131lmaz M, Tantekin MF, K\u0131vrak A (2025) Early versus delayed plate fixation in pilon fractures. J Am Podiatr Med Assoc 9:1\u201334. https:\/\/doi.org\/10.7547\/25-087","journal-title":"J Am Podiatr Med Assoc"},{"issue":"6","key":"963_CR4","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1097\/bot.0000000000002571","volume":"37","author":"YJ Kim","year":"2023","unstructured":"Kim YJ, Scott T, Richard RD, Parry JA (2023) An acute fixation protocol for high-energy tibial plateau fractures decreases time to fixation and lowers operative costs without affecting wound complications and reoperations. J Orthop Trauma 37(6):287\u2013293. https:\/\/doi.org\/10.1097\/bot.0000000000002571","journal-title":"J Orthop Trauma"},{"issue":"4","key":"963_CR5","first-page":"204","volume":"13","author":"M Hamdy","year":"2025","unstructured":"Hamdy M, Sabry A, Gawrgios Y, Amin S, Gado E, Ghanem M (2025) Comparison of temporary external fixation and open reduction with internal fixation for the management of pilon fractures: A short-term outcome prospective clinical trial. Arch Bone Joint Surg-ABJS. 13(4):204\u2013211","journal-title":"Arch Bone Joint Surg-ABJS."},{"key":"963_CR6","doi-asserted-by":"publisher","unstructured":"Tidwell J, Juliano P. Pilon Fractures. In: Orthopedic Surgery Clerkship: A Quick Reference Guide for Senior Medical Students. 2017. p. 399\u2013405. Located at: Scopus. Available from: https:\/\/www.scopus.com\/inward\/record.uri?eid=2-s2.0-105011792127&doi=10.1007%2f978-3-319-52567-9_86&partnerID=40&md5=9de9cadc70e9823a9a7e8a3b40ddacdchttps:\/\/doi.org\/10.1007\/978-3-319-52567-9_86","DOI":"10.1007\/978-3-319-52567-9_86"},{"issue":"12","key":"963_CR7","doi-asserted-by":"publisher","first-page":"757","DOI":"10.1097\/BOT.0b013e3181d04bc0","volume":"24","author":"TO White","year":"2010","unstructured":"White TO, Guy P, Cooke CJ, Kennedy SA, Droll KP, Blachut PA et al (2010) The results of early primary open reduction and internal fixation for treatment of OTA 43.C-type tibial pilon fractures: a cohort study. J Orthop Trauma 24(12):757\u2013763","journal-title":"J Orthop Trauma"},{"key":"963_CR8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jorep.2025.100646","author":"AC Stewart","year":"2025","unstructured":"Stewart AC, Phan R, Cho T, Liu J, Sanford CG (2025) Comparison of clinical outcomes in acute versus staged open reduction-internal fixation of OTA\/AO type 43C tibial pilon fractures. J Orthop Rep Located Scopus. https:\/\/doi.org\/10.1016\/j.jorep.2025.100646","journal-title":"J Orthop Rep Located Scopus."},{"key":"963_CR9","doi-asserted-by":"publisher","first-page":"1106","DOI":"10.1302\/0301-620x.98b8.36400","volume":"98","author":"AD Duckworth","year":"2016","unstructured":"Duckworth AD, Jefferies JG, Clement ND, White TO (2016) Type C tibial pilon fractures. Bone Joint J. 98:1106\u20131111. https:\/\/doi.org\/10.1302\/0301-620x.98b8.36400","journal-title":"Bone Joint J."},{"issue":"3","key":"963_CR10","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1097\/00005131-200103000-00002","volume":"15","author":"M Blauth","year":"2001","unstructured":"Blauth M, Bastian L, Krettek C, Knop C, Evans S (2001) Surgical options for the treatment of severe tibial pilon fractures: a study of three techniques. J Orthop Trauma 15(3):153\u2013160. https:\/\/doi.org\/10.1097\/00005131-200103000-00002","journal-title":"J Orthop Trauma"},{"issue":"2","key":"963_CR11","doi-asserted-by":"publisher","first-page":"79","DOI":"10.17816\/2311-2905-1693","volume":"28","author":"IG Belenkiy","year":"2022","unstructured":"Belenkiy IG, Manukovskii VA, Tulupov AN, Demko AE, Kandyba DV, Sergeev GD et al (2022) Strategies of Osteosynthesis: Problems and Perspectives. Travmatol Ortop Rossii 28(2):79\u201390","journal-title":"Travmatol Ortop Rossii"},{"issue":"1","key":"963_CR12","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1111\/j.1757-7861.2010.00113.x","volume":"3","author":"XT Zeng","year":"2011","unstructured":"Zeng XT, Pang GG, Ma BT, Mei XL, Sun X, Wang J et al (2011) Surgical treatment of open pilon fractures. Orthop surg 3(1):45\u201351. https:\/\/doi.org\/10.1111\/j.1757-7861.2010.00113.x","journal-title":"Orthop surg"},{"issue":"7","key":"963_CR13","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1007\/s00590-009-0455-5","volume":"19","author":"A Saithna","year":"2009","unstructured":"Saithna A, Moody W, Jenkinson E, Almazedi B, Sargeant I (2009) The influence of timing of surgery on soft tissue complications in closed ankle fractures. European J Orthop Surg Traumatol 19(7):481\u2013484. https:\/\/doi.org\/10.1007\/s00590-009-0455-5","journal-title":"European J Orthop Surg Traumatol"},{"key":"963_CR14","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1016\/j.jclinepi.2021.03.001","volume":"134","author":"MJ Page","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al (2021) The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. J Clin Epidemiol 134:178\u2013189. https:\/\/doi.org\/10.1016\/j.jclinepi.2021.03.001","journal-title":"J Clin Epidemiol"},{"issue":"8","key":"963_CR15","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.1177\/10711007221094024","volume":"43","author":"J Hreha","year":"2022","unstructured":"Hreha J, Metrione MD, Reilly MC, Sirkin MS, Adams MR (2022) Perioperative Impact of Early Limited Surgical Intervention to Treat Pilon Fractures. Foot Ankle Int 43(8):1092\u20131098. https:\/\/doi.org\/10.1177\/10711007221094024","journal-title":"Foot Ankle Int"},{"key":"963_CR16","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1097\/00003086-199307000-00013","volume":"292","author":"SM Teeny","year":"1993","unstructured":"Teeny SM, Wrss DA (1993) Open reduction and internal fixation of tibial plafond fractures. Clin Orthop Relat Res 292:108\u2013117. https:\/\/doi.org\/10.1097\/00003086-199307000-00013","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"963_CR17","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1097\/00005131-199902000-00002","volume":"13","author":"M Sirkin","year":"1999","unstructured":"Sirkin M, Sanders R, DiPasquale T, Herscovici D (1999) A staged protocol for soft tissue management in the treatment of complex pilon fractures. J Orthop Trauma 13(2):78\u201384. https:\/\/doi.org\/10.1097\/00005131-199902000-00002","journal-title":"J Orthop Trauma"},{"issue":"3","key":"963_CR18","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1007\/s00264-010-1005-9","volume":"35","author":"PA McCann","year":"2011","unstructured":"McCann PA, Jackson M, Mitchell ST, Atkins RM (2011) Complications of definitive open reduction and internal fixation of pilon fractures of the distal tibia. Int Orthop 35(3):413\u2013418. https:\/\/doi.org\/10.1007\/s00264-010-1005-9","journal-title":"Int Orthop"},{"issue":"1","key":"963_CR19","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1097\/BTO.0000000000000052","volume":"29","author":"J Early","year":"2014","unstructured":"Early J, Tenenbaum S (2014) Soft tissue management of closed tibial pilon fractures. Tech orthop 29(1):2\u20137. https:\/\/doi.org\/10.1097\/BTO.0000000000000052","journal-title":"Tech orthop"}],"container-title":["MUSCULOSKELETAL SURGERY"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12306-026-00963-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12306-026-00963-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12306-026-00963-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T06:42:36Z","timestamp":1782974556000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12306-026-00963-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,2]]},"references-count":19,"alternative-id":["963"],"URL":"https:\/\/doi.org\/10.1007\/s12306-026-00963-8","relation":{},"ISSN":["2035-5114"],"issn-type":[{"value":"2035-5114","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,2]]},"assertion":[{"value":"8 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflicts of interest related to this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Ethical approval was not required for this study because it is a systematic review and meta-analysis of previously published data and did not involve any direct interaction with human participants or access to identifiable patient information.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"AI tools were used solely for language editing, formatting, and grammar refinement. No AI tools were used for data extraction, analysis, study selection, or interpretation of results. All scientific decisions and final content were made by the authors.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Artificial Intelligence (AI) declaration"}}]}}