Albagli A, Rotman D, Tudor A, et al. - This study was attempted to explore to what extent adding a first metatarsal fixation contributes to the stability of the fixation as evidenced by reduced frequency of early loss of reduction. Researchers conducted a retrospective study to correlate the rate of early reduction loss in patients treated with a bilateral frame external fixation as part of a two-stage treatment protocol for periarticular ankle fractures, in a level one trauma center between 2006 and 2016. The study included a total of 67 patients, of whom 30 had undergone fixation by delta frame (DF) and 37 by DF+first metatarsal fixation. The incidence of early loss of reduction was not reduced by the addition of a first metatarsal pin as an enhancement of external fixation with a delta frame configuration. No evidence was found to support the claim that adding this pin contributes to the stability of the fixation in a clinically relevant manner.