Fixation of Lateral Malleolus in Ankle Fracture Type A&B by Plate Versus Intramedullary Screw
Conditions
Keywords
Lateral malleolus,type A&B ,plate,intramedullary screw
Brief summary
The aim of this study is to compare the short term : Clinical, radiographic and functional outcome, and healing time and rate of complications between fixation of lateral malleolar fracture in Danis\_Weber\_A&B fracture ankle by plate versus intramedullary screw fixation
Detailed description
The aim of this study is to compare the short term : Clinical, radiographic and functional outcome, and healing time and rate of complications between fixation of lateral malleolar fracture in Danis\_Weber\_A&B fracture ankle by plate versus intramedullary screw fixation Study will occur at Orthopaedics and Traumatology department Sohag University Hospitals .Study will be done on about 52 participants selected randomly
Interventions
PROCEDUREFixation of lateral malleolar fracture in Danis_Weber_A&B fracture ankle by plate versus intramedullary screw fixation
under spinal anaesthesia. A suitable broad\_spectrum antibiotic will be given with induction of anaesthesia. Patients will be positioned supine on a standard radiolucent operation table, under image intensifier guidance. A pneumatic tourniquet will be placed on the thigh and inflated . Plate fixation group: A straight incision made over the lateral malleolus . Then, blunt dissection through subcutaneous fat made to avoid injury to the superficial peroneal nerve. The periosteum dissected away to allow clean inspection of the fracture fragments. After the fracture reduced, plate applied to the lateral side of the lateral malleolus and held to the bone by a plate holder. The plate secured to the bone by screws above the fracture site and below it . Wounds then closed in layers before adding a sterile gauze dressing. Intramedullary Screw group: Under image intensifier guidance, closed reduction achieved by inverting and internally rotating the foot
Sponsors
Sohag University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The aim of this study is to compare the short term : Clinical, radiographic and functional outcome, and healing time and rate of complications between fixation of lateral malleolar fracture in Danis\_Weber\_A&B fracture ankle by plate(Group A) and another group intramedullary screw fixation (Group B) Study will occur at Orthopaedics and Traumatology department Sohag University Hospitals .Study will be done on about 52 participants selected randomly
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
1. Displaced , unstable lateral malleolar fractures Weber type A or B, 2. either isolated or associated with medial or posterior malleolar fractures . 3. Age group : \[18\_60 years old Patients\] 4. Male or female patient
Exclusion criteria
1\. Associated syndesmotic injury * 2open fractures 3. neuropathic disorders 4. paralytic disorders * 5 Osteoporotic fractures 6. Patients with uncontrolled diabetes * 7 Comminuted fractures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| compare the short term : Clinical, radiographic and functional outcome, and healing time and rate of complications between fixation of lateral malleolar fracture in Danis_Weber_A&B fracture ankle by plate versus intramedullary screw fixation | 4months,6months,9months,1year after treatment | compare the short term : Clinical, radiographic and functional outcome, and healing time and rate of complications between fixation of lateral malleolar fracture in Danis\_Weber\_A\&B fracture ankle by ORIF and plate fixation versus intramedullary screw fixation .Study will occur at Orthopaedics and Traumatology department Sohag University Hospitals .Study will be done on about 52 participants Functional outcome evaluated by Manchester\_Oxford Foot Questionnaire(MOXFQ) scoring system: comprises three dimensions (pain, standing/walking, social interaction ) and also by VAS(Visual Analogue score)is a 10-cm ( ) straight line used to measure subjective intensity of pain, fatigue, or mood, with 0 representing "no pain" and 10 or 100 representing "worst imaginable pain" American Orthopaedic Foot and Ankle Society (AOFAS) score is a 100-point clinical rating system (0-100, with higher being better) designed to evaluate pain (40 pts), function (50 pts), and alignment (10 pts) for foot and ankle |
Countries
Egypt
Contacts
CONTACTAhmed Mohamed Hemdan, Principal investigator
Outcome results
None listed