Non--operative Treatment of the Medial Malleolus in bi- and Trimalleolar Ankle Fractures

Oslo University Hospital100 enrolled

Overview

The purpose of this study was to determine if internal fixation of the medial malleolus is necessary following open reduction and internal fixation of the lateral and, if required, the posterior malleolus treating displaced bi-or trimalleolar ankle fractures.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

100

Conditions

Ankle Malleolus Fracture Bimalleolar Fracture of Medial Malleolus Fracture of Ankle

Interventions

Internal fixationPROCEDURE

Internal fixation of the medial malleolus following open reduction and internal fixation of the lateral and, if required, posterior malleolus.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with Orthopaedic Trauma Association (OTA) type 44 fractures (B2-3 and C2-3). Exclusion Criteria: * Patients with OTA type 43 distal tibia fractures. * Patients with soft tissue injuries involving the medial malleolus.

Locations (1)

Oslo University Hospital

Oslo, Norway

Outcomes

Primary Outcomes

American Orthopaedic Foot and Ankle Society ankle hind foot score (AOFAS)

Time frame: Average of 42 months

The Olerud Molander Ankle score (OMAS)

Time frame: Average of 42 months

Secondary Outcomes

Posttraumatic osteoarthritis (OA) according to the criteria of Magnusson (stage I-IV)

Time frame: Average of 42 months

VAS score

Pain evaluated at rest, in the morning, in the evening and during the night.

Time frame: Average of 42 months

Data from ClinicalTrials.gov

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