Early Weight Bearing for Ankle Fractures

Early Weight Bearing for Bimalleolar and Trimalleolar Ankle Fractures Without Syndesmotic Disruption

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02736370

Enrollment

Registered

2016-04-13

Start date

2016-05-31

Completion date

2019-02-28

Last updated

2023-09-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Broken Ankle

Brief summary

The purpose of this observational study is to assess the rate of return to work, rate of return to activities, functional outcome measures and pain scores in operatively repaired rotational Bimalleolar and Trimalleolar (AO/OTA Classification of 44A and 44B) ankle fractures not requiring fixation of the syndesmosis and allowed early weight bearing on or before the first post-operative visit.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Men and women ages of 18 and up * Closed, low-energy Bimalleolar and Trimalleolar rotational ankle fractures * Orthopaedic Trauma Association (OTA) classification of 44A and 44B * English speaking * Able and willing to consent

Exclusion criteria

* Open fractures * OTA classification of 43 and 44C * Patients with diabetes mellitus * No other lower extremity injuries that would affect functional outcomes * Previous use of walking aides * Patients with paralysis or hemiplegia * Ankle fractures requiring syndesmotic repair * Ankle fractures requiring fixation of the posterior malleolar * Associated neurovascular injury * Problems maintaining follow up (homeless or not willing to return for follow up) * Pathological fractures * Prisoners * Patients not allowed to bear weight before the 6 week post-operative follow up visit

Design outcomes

Primary

Measure	Time frame	Description
Functional Outcome Scores	12 months post operatively	During follow up visits functional outcomes scores will be assess using the Foot and Ankle Score and the PROMIS (Patient Reported Outcomes Measurement Information System) Mobility Measure questionnaires. These forms will be analyzed together to determine the patients functional outcomes.

Secondary

Measure	Time frame	Description
Return to work	up to 12 months	During follow up visits the patients return to work status will be assessed.
Fracture Healing	up to 12 months	During follow up visits fractures healing will be assessed by physician review of x-rays.
Pain Scores	12 months post operatively	Pain Scores and PROMIS Pain Intensity and Interference questionnaires will be assessed during follow up. These forms will be analyzed together to determine the patients overall pain.
Post operative complications	up to 12 months	Post operative complications will be assessed during follow up visits.

Outcome results