Ankle Fractures, Posterior Malleolus Fractures
Conditions
Keywords
ankle, fracture, posterior, malleolus, fixation
Brief summary
This study aims prospective randomized comparison of mid-term clinical outcomes of middle-sized posterior malleolus fractures with and without internal fixation.
Detailed description
Although it has traditionally been accepted that posterior malleolar fractures involving less than 25 percent of the tibial plafond do not require operative fixation, this belief is now questioned. A number of studies have shown that the posterior malleolus contributes significantly to ankle stability. Many studies have also demonstrated that postoperative outcomes are better in patients who underwent posterior malleolar reduction and fixation. The aim of this prospective study is to show how internal fixation of the posterior malleolus, including middle-sized posterior malleolar fractures (10-25%), affects clinical outcomes and to discuss the factors that may lead to arthritis of the ankle joint. The groups will be randomized. The clinical and functional results of 40 patients who will be operated between 2015-2019 due to ankle fracture will be evaluated at short to mid-term (2-5 years). According to our hypothesis, internally fixed posterior malleolar fractures give better clinical and functional scores.
Interventions
PROCEDUREInternal fixation
Fixation of posterior malleolus with either plate or screws.
Sponsors
Istanbul University - Cerrahpasa
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Patients who were operated for ankle fractures, including posterior malleolar fracture between 10-25% of the joint surface. Two to five years of follow-up with functional and radiological outcome.
Exclusion criteria
Posterior malleolar fractures accompanied by severe soft tissue damage after high-energy injury will not be included in the study. Written consent will be obtained from all participants, patients who do not give consent or refuse to participate will not be included in the study. Patients who left the study voluntarily will not be included in the statistics. Patients with additional joint disorders, previous surgery or previous history of ankle complaint will not be included.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Short Musculoskeletal Function Assessment (SMFA) Questionnaire | 2 year | Functional outcome score between 0 and 100. Higher score indicates a worse function. |
| Kellgren-Lawrence grading system for osteoarthritis | 2 year | Grade of ankle osteroarthritis. Score between 0 to 4. Higher score indicates worse joint cartilage. |
| American Orhopaedic Foot and Ankle Score (AOFAS) Score | 5 year | Functional outcome score between 0 and 100. Higher score indicates better function. |
Outcome results
None listed