S82.6
Conditions
Interventions
Group 1: If osteosynthesis of a distal fibula fracture is indicated, the osteosynthesis is performed after a randomisation process by means of a Semitubular plate and a screw using the AO (Arbeitesgem
Sponsors
TUM, Klinikum rechts der Isar, Klinik und Poliklinik für Unfallchirurgie
Eligibility
Sex/Gender
All
Age
65 Years to 100 Years
Inclusion criteria
Inclusion criteria: Presence of a distal fibula fracture (according to AO 44 B1.1, B1.2, B1.3). - Fulfilment of the criteria for surgical treatment: - Corticalis disruption - Shaft displacement >5mm - Grade 0: No or insignificant soft tissue injury, indirect force, simple fracture form - Grade I: Superficial skin abrasion or contusion due to fragment pressure from inside, simple to moderate fracture form - Age: > 65 years - Charlson score = 1
Exclusion criteria
Exclusion criteria: - Open fractures - Lesions of the vessels or nerves - Presence of a pathological fracture - Polytrauma patients - Prisoners, pregnant women and patients with known care needs - Inflammatory underlying disease such as: sepsis, meningitis, HIV, hepatitis, etc. - Neurological-psychiatric underlying disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary target parameters: Radiological-morphological: Position of the fracture fragments Clinical-functional: Weight-bearing and range of motion according to the neutral zero method Consolidation of the tissue | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary target parameters: Radiological-morphological: Development of the fracture Axial position (in the upper ankle joint) Clinical data: Medical history (risk factors, secondary diagnoses, family history). Patient satisfaction (SF-36 II) Complications Pain (analgesic requirement) Range of motion (n. neutral zero) | — |
Countries
Germany
Contacts
Public ContactMichael Zyskowski
TUM, Klinikum rechts der Isar, Klinik und Poliklinik für Unfallchirurgie
Outcome results
None listed