The objective of this study is to compare the functional outcomes of patients with ankle fractures treated by Arthroscopic assisted Open Reduction Internal Fixation (AORIF) versus Open Reduction Internal Fixation (ORIF).
Prospective Randomized Clinical Trial evaluating patients with ankle fractures undergoing AORIF versus ORIF Participants will be randomized into 2 different surgical groups, one group receiving only ORIF and the other group receiving AORIF. As standard of care patients will follow up in the office at approximately 3 weeks, 6 weeks and 12 weeks post operatively. Patients will be immobilized in a splint and will be non-weight bearing until their 3 week post-op visit. At the 3 week post-op visit, the patient will be fitted in a boot, be instructed to begin self-directed ROM and to continue non-weight bearing. At the 6 week post-op visit, the patient will begin weight bearing in the boot. In office study visit will occur at these same times. At each visit weight bearing status, return to sports, pain level, AOFAS and FAAM will be assessed. One additional study visit will be conducted over the phone or by mail at approximately one year post operatively and will consist of the FAAM.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Surgical fixation of ankle fractures with use of arthroscopy.
Surgical fixation of ankle fractures.
Spectrum Health
Grand Rapids, Michigan, United States
American Orthopedic Foot and Ankle Score (AOFAS)
Compare AOFAS scores between AORIF versus ORIF of ankle fractures.
Time frame: 6 month
Foot and Ankle Ability Measure (FAAM)
Compare FAAM scores between AORIF versus ORIF of ankle fractures.
Time frame: 1 year
Rate of Return to Sports
Compare Return to Sports rates between AORIF versus ORIF of ankle fractures.
Time frame: 1 year
Rates of Complications
Compare rates of Complication between AORIF versus ORIF of ankle fractures.
Time frame: 1 year
Pain Scores
Compare Pain Scores between AORIF versus ORIF of ankle fractures.
Time frame: 1 year
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