Extra articular Pilon Fracture
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients will be eligible for this study if: Aged 16 years or over; Patients with a fracture that involves the distal tibial metaphysisdefined as a fracture extending within 2 Müller squares of the ankle joint21are eligible if: The fracture is closed; In the opinion of the attending surgeon, the patient would benefit from internal fixation of the fracture.
Exclusion criteria
Exclusion criteria: Patients will be excluded from participation in this study if: In the opinion of the attending surgeon, there is a contraindication to intramedullary nailing; The fracture is open; There is a contra-indication to anaesthesia; There is evidence that the patient would be unable to adhere to trial procedures or complete questionnaires The fracture extends into the ankle joint (ie, intra-articular fracture). Contraindications to intramedullary nailing are: the medullary canal is too narrow OR there is a preinjury deformity of the medullary canal OR it is not possible to achieve fixation of four cortices with screws distal to the fracture. We feel that these exclusion criteria will be easily understood by the surgeons and are in keeping with the pragmatic nature of the trial. However, we will include the specific reason in the trial screening data. For those patients withdrawing from the trial after written consent has been obtained, data obtained up until the point of withdrawal will be included in the final analysis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient Reported Outcomes; | — |
Countries
Pakistan
Contacts
Ghurki Trust and Teaching Hospital