Pilon Fracture
Conditions
Keywords
Pilon Fracture
Brief summary
This project intends to compare patient outcomes between patients undergoing ORIF compared to PA, or ankle fusion, following an acute pilon fracture. Limited literature comparing ORIF and ankle fusion as a primary procedure exists. Particularly, no present literature exists examining the novel arthrodesis surgical technique utilized in this study in conjunction with Opal sensor gait analysis data. This study will serve as a pilot study and assess patient gait, degree of pain, functional outcome scores, development of post-traumatic arthritis and/or infection, need for secondary surgery, and return to work time.
Interventions
None listed
Sponsors
Emory University
University of Kansas Medical Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Individuals receiving ORIF or PA for a multifragmented acute pilon fracture occuring at the joint surface over the age of 18 from 2018 to present at The University of Kansas Medical Center (KUMC) or Emory University Hospital.
Exclusion criteria
Anyone under the age of 18 years. Pregnant women.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 12 Item Short Form Survey (SF-12) | Collected only once; from 6 months post-op up to date of death from any cause | Patient reported outcome measures regarding health and daily activities (Scores range from 0 to 100, with higher scores indicating better physical and mental health functioning) |
| Walking cadence | Collected only once; from 6 months post-op up to date of death from any cause | Steps per minute as determined by the use of the Opal Sensors |
| Timed up-and-go | Collected only once; from 6 months post-op up to date of death from any cause | Time it takes to stand from seated, walk 10 feet forward, turn around, and sit back down, unassisted (determined by the use of the Opal sensors). |
| Foot and ankle Outcome Score (FAOS) | Collected only once; from 6 months post-op up to date of death from any cause | Foot and ankle injury patient reported outcome measure (Scores range from 0 to 100, with higher scores indicating better foot and ankle surgical outcomes) |
| Ankle range of motion | Collected only once; from 6 months post-op up to date of death from any cause | Inversion and eversion range, and flexion versus extension range determined by the use of the Opal sensors |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Need for secondary operation | From the date of surgery up until the date of death from any cause | Number of patients that required follow up surgery to their initially injured ankle |
| Return to work time | From the date of surgery up until the date of death from any cause | Number of weeks it took for patients to return to work |
| Presence of infection and/or post-traumatic arthritis | From the date of surgery up until the date of death from any cause | Rate of patients being rehospitalized or returning for care beyond what is required due to infection or arthritis |
Countries
United States
Contacts
Primary ContactBrent Wise, MD
Backup ContactDavid Turkowitch, BS
Outcome results
None listed