fibula, fracture, intramedullary fixation, nail, plate fixation, elderly, prospective cohort
Conditions
Interventions
1) Minimally invasive intramedullary fixation using a fibular nail
2) Conventional plate fixation
Sponsors
None
Eligibility
Inclusion criteria
Inclusion criteria: 1) Age 70 years or older 2) Fracture classified as Lauge-Hansen supination external rotation type 4 including fracture associated with luxation of the ankle joint 3) Articular discongruity of >2 mm on X-ray
Exclusion criteria
Exclusion criteria: 1) Pathological fractures 2) Severely comminuted fractures (>75%) 3) Presentation delayed by >14 days 4) Polytrauma patients (>2 AIS or >15 ISS with two or more anatomic regions involved) 5) Inoperable patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The total number of postoperative complications, including wound infection, wound healing disorders, implant related complications, deep venous thrombosis, pulmonary embolism, and mortality. | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional scores (including the Olerud-Molander Ankle Score, Parker Mobility Score and Visual Analogue Scale for pain), duration of hospital stay, and number of postoperative hospital visits. | — |
Contacts
Public ContactDavid Tas
Department of Surgery, University Medical Center Utrecht, Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands.
Outcome results
None listed