Unstable ankle fracture. Fracture of lower leg, including ankle
Conditions
Interventions
Intervention 1: Intervention group: In this group, weight-bearing and mobilization will begin 2 weeks after internal fixation surgery of the ankle fracture (early weight-bearing and mobilization) (n =
Sponsors
Kashan University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Patients who aged 18 to 65 Years Unstable fractures of lateral malleolus with or without talar shift Unstable fractures of the medial malleolus or vertical fractures of the medial malleolus Bimalleolar fractures Trimalleolar fractures (fractures involved less than 25% of posterior malleolus and do not require posterior malleolus surgery) Closed fractures and open fractures of grade 1 and grade 2
Exclusion criteria
Exclusion criteria: Immature skeleton Previous ankle surgery The need for medical care preventing other practical interventions Impossibility to follow the protocol after the operation Surgery after more than 14 days from the time of injury Concurrent posterior malleolus fracture with involvement of more than 25% Open grade 3 fractures Concurrent Syndesmosis Injury
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time required to return to work. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months and 1 year after surgery. Method of measurement: Checklist.;The time required to bear the full body weight. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months and 1 year after surgery. Method of measurement: Checklist.;Olerud-Molander Ankle Score. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months and 1 year after surgery. Method of measurement: Olerud-Molander Ankle Score Checklist.;Time required for physiotherapy. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months and 1 year after surgery. Method of measurement: By asking patients. | — |
Secondary
| Measure | Time frame |
|---|---|
| Wound complications (Delay in healing, infection and etc). Timepoint: 2 weeks, 6 weeks, 3 months, 6 months and 1 year after surgery. Method of measurement: Physical examination.;Need for reoperation. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months and 1 year after surgery. Method of measurement: Checklist.;Incidence of nonunion. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months and 1 year after surgery. Method of measurement: Plain radiography (X-ray).;Incidence of malunion. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months and 1 year after surgery. Method of measurement: Plain radiography (X-ray).;Range of motion in ankle joint. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months and 1 year after surgery. Method of measurement: Physical examination. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDavood Dehghani Ashkezari
Kashan University of Medical Sciences
Outcome results
None listed