RecruitingNot ApplicableNCT05765929

Use of Weightbearing Radiographs to Determine Treatment of bi- and Trimalleolar Ankle Fractures

Sponsor

Ostfold Hospital Trust

Enrollment

29 participants

Start Date

Feb 28, 2023

Study Type

INTERVENTIONAL

Conditions

The aim of this study is to evaluate the outcomes after non-operative treatment of weightbearing stable bi-and trimalleolar ankle fractures.

Min Age: 18 YearsMax Age: 75 Years

With bi- and trimalleolar ankle fractures with less than 7 mm medial clear space on non-weightbearing radiographs that are deemed stable by weightbearing radiographs.
With type B medial malleolus fractures between the tip and the plafond and type C medial malleolus fractures at the level of the plafond (Herscovici classification). (6)
With fractures in the distal 1/3 of fibula (not-Maisonneuve)
Enabling stability evaluation within 14 days after injury
years of age
with pre-injury walking ability without aids

\- With primary unstable ankle fractures, \> 7mm medial clear space on primary radiographs
With fracture reduction prior to initial radiographic evaluation, open fracture, fractures resulting from high-energy trauma or multi trauma and pathological fracture
With type A medial malleolus avulsion fractures \< 5mm (at the tip of the malleolus), that are not suitable for surgical intervention.
With Herscovici type D fractures, involving Lauge-Hansen SA2 fractures (supracollicular fracture - vertical, oblique or transverse direction of the plafond)
With displaced posterior malleolus fractures that needs fixation in the judgement of the attending surgeon
With neuropathies and symptomatic joint diseases such as Rheumatoid Arthritis
That are assumed not compliant (such as drug abuse, cognitive- and/or psychiatric disorders)
With previous history ipsilateral ankle fracture
With previous history ipsilateral major ankle-/foot surgery
Who live outside the hospital catchment areas not available to follow up
With insufficient Norwegian or English language skills
Non-compliant

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OTHERNon-operative treatment

Patients will be treated with a walker-orthosis for 6 weeks. Weightbearing as tolerated

Østfold Hospital Trust

Sarpsborg, Østfold fylke, Norway

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NCT05765929