Anke Fracture, Syndesmotic Injury
Conditions
Brief summary
The objective of this trial is to demonstrate that the functional outcome of 'removal on demand' of the syndesmotic screw is non-inferior compared to routine removal of the syndesmotic screw in patients with an ankle fracture.
Interventions
The syndesmotic screw will only be removed in case of a symptomatic implant (e.g. implant causing pain or restricted range of motion)
The syndesmotic screw will routinely be removed 8 - 12 weeks following placement of the screw
Sponsors
Study design
Eligibility
Inclusion criteria
* Over 17 years of age * Placement of a metallic syndesmotic screw for an unstable ankle fracture or an isolated syndesmotic injury * Syndesmotic screw placed within two weeks of the trauma * Being in such condition that one is able to possibly undergo a second procedure
Exclusion criteria
* ISS score \>15 * Injuries to the ipsi- and contralateral side which might hamper rehabilitation * Other medical conditions which hamper physical rehabilitation * Incomprehensive understanding of the Dutch language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional outcome through the Olerud-Moland score | 1 year following initial treatment |
Secondary
| Measure | Time frame |
|---|---|
| Pain through the Visual Analog scale | 1 year following initial treatment |
| Range of motion | 1 year following initial treatment |
| Surgical complications | 1 year following initial treatment |
| Functional outcome through the OAFAS | 1 year following initial treatment |
| Health care consumption through the iMCQ | 1 year following initial treatment |
| Loss of productivity through the iPCQ | 1 year following initial treatment |
| Quality of Life through the EQ-5D-5L | 1 year following initial treatment |
Countries
Netherlands