Objective:

To validate the clinical utility of the SGSC checklist for assessing reduction quality in trimalleolar fractures and to correlate its findings with clinical outcomes, specifically examining the nature of this correlation.

Approach:

Key Findings:

• The SGSC checklist demonstrated high accuracy in identifying reduction quality when compared to postoperative CT scans, with an accuracy rate of X%.
• SGSC findings correlated with short-term AOFAS scores and complication rates, indicating its potential prognostic value.

Interpretation:

The SGSC checklist provides a systematic and reliable method for intraoperative assessment of trimalleolar fractures, potentially improving surgical outcomes.

Limitations:

• The study was conducted at a single center, which may limit generalizability and applicability to broader populations.
• The sample size of 36 patients may not be sufficient for broader conclusions, potentially affecting the reliability of the findings.

Conclusion:

The SGSC checklist is a promising tool for enhancing intraoperative assessment of trimalleolar fractures, warranting further validation in larger studies.

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