Trial Outcomes & Findings for A Multicenter Randomized Trial Comparing Antiglide and Lateral Plate Fixation in Ankle Fractures (NCT NCT00718302)

NCT ID: NCT00718302

Last Updated: 2017-03-29

Results Overview

Percentage of Participants with Nonpalpable Hardware

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

249 participants

Primary outcome timeframe

3 months, 6 months, 12 months

Results posted on

2017-03-29

Participant Flow

249 subjects were enrolled, but due to patient withdrawal or incomplete data from sites, only 233 subjects entered the flow.

Participant milestones

Participant milestones
Measure
Antiglide Plate
Antiglide Plate: A plate is placed behind the broken ankle and secured with screws
Lateral Plate
Lateral Plate: A metal plate is placed to the side of the broken ankle and is secured with screws
Overall Study
STARTED
119
114
Overall Study
COMPLETED
119
114
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Multicenter Randomized Trial Comparing Antiglide and Lateral Plate Fixation in Ankle Fractures

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Antiglide Plate
n=119 Participants
A plate is placed behind the broken ankle and secured with screws.
Lateral Plate
n=114 Participants
A metal plate is placed to the side of the broken ankle and is secured with screws
Total
n=233 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
107 Participants
n=5 Participants
106 Participants
n=7 Participants
213 Participants
n=5 Participants
Age, Categorical
>=65 years
12 Participants
n=5 Participants
8 Participants
n=7 Participants
20 Participants
n=5 Participants
Sex: Female, Male
Female
66 Participants
n=5 Participants
64 Participants
n=7 Participants
130 Participants
n=5 Participants
Sex: Female, Male
Male
53 Participants
n=5 Participants
50 Participants
n=7 Participants
103 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 months, 6 months, 12 months

Population: Participants analyzed at 3 months - 88 (AP) / 89 (LP) Participants analyzed at 6 months - 68 (AP) / 67 (LP) Participants analyzed at 12 months - 53 (AP) / 51 (LP)

Percentage of Participants with Nonpalpable Hardware

Outcome measures

Outcome measures
Measure
Antiglide Plate
n=88 Participants
A plate is placed behind the broken ankle and secured with screws
Lateral Plate
n=89 Participants
A metal plate is placed to the side of the broken ankle and is secured with screws
Percentage of Nonpalpable Hardware
3 months
71 percentage of participants
55 percentage of participants
Percentage of Nonpalpable Hardware
6 months
64 percentage of participants
66 percentage of participants
Percentage of Nonpalpable Hardware
12 months
51 percentage of participants
44 percentage of participants

SECONDARY outcome

Timeframe: 3 months, 6 months, 12 months

Population: Participants analyzed at 3 months - 88 (AP) / 89 (LP) Participants analyzed at 6 months - 68 (AP) / 67 (LP) Participants analyzed at 12 months - 53 (AP) / 51 (LP) Numbers differ due to incomplete data collection or subjects were lost to follow up.

Percentage of Participants with Normal Peroneal Tendons

Outcome measures

Outcome measures
Measure
Antiglide Plate
n=88 Participants
A plate is placed behind the broken ankle and secured with screws
Lateral Plate
n=89 Participants
A metal plate is placed to the side of the broken ankle and is secured with screws
Percentage Normal Peroneal Tendons
3 months
88 percentage of participants
88 percentage of participants
Percentage Normal Peroneal Tendons
6 months
91 percentage of participants
92 percentage of participants
Percentage Normal Peroneal Tendons
12 months
88 percentage of participants
90 percentage of participants

SECONDARY outcome

Timeframe: 3 months, 6 months, 12 months

Population: Participants analyzed at 3 months - 88 (AP) / 89 (LP) Participants analyzed at 6 months - 68 (AP) / 67 (LP) Participants analyzed at 12 months - 53 (AP) / 51 (LP) Numbers differ due to incomplete data collection or subjects were lost to follow up.

American Orthopedic Foot and Ankle Society Score (AOFAS) score. The questionnaire consists of nine items that are distributed over three categories: Pain (40 points), function (50 points) and alignment (10 points). These are all scored together for a total of 100 points. A subject can score anywhere from 0-100, 100 being best.

Outcome measures

Outcome measures
Measure
Antiglide Plate
n=88 Participants
A plate is placed behind the broken ankle and secured with screws
Lateral Plate
n=89 Participants
A metal plate is placed to the side of the broken ankle and is secured with screws
American Orthopedic Foot and Ankle Society Score (AOFAS) Scores
3 months
81.6 units on a scale
Standard Deviation 12.8
82.8 units on a scale
Standard Deviation 11.69
American Orthopedic Foot and Ankle Society Score (AOFAS) Scores
6 months
87.24 units on a scale
Standard Deviation 10.74
87.43 units on a scale
Standard Deviation 12.06
American Orthopedic Foot and Ankle Society Score (AOFAS) Scores
12 months
90.11 units on a scale
Standard Deviation 9.52
89.44 units on a scale
Standard Deviation 11.08

SECONDARY outcome

Timeframe: 3 months, 6 months, 9 months

Population: Participants analyzed at 3 months - 88 (AP) / 89 (LP) Participants analyzed at 6 months - 68 (AP) / 67 (LP) Participants analyzed at 12 months - 53 (AP) / 51 (LP) Numbers differ due to incomplete data collection or subjects were lost to follow up.

The Short Musculoskeletal Functional Assessment (SMFA) score. The questionnaire consists of four categories: Daily Activities, Emotional Status, Arm and Hand Function, Mobility. All categories are scored together, totaling between 0-100. The lower the score, the better the subjects function.

Outcome measures

Outcome measures
Measure
Antiglide Plate
n=88 Participants
A plate is placed behind the broken ankle and secured with screws
Lateral Plate
n=89 Participants
A metal plate is placed to the side of the broken ankle and is secured with screws
The Short Musculoskeletal Functional Assessment (SMFA) Score
3 months
25.1 units on a scale
Standard Deviation 16.41
27.2 units on a scale
Standard Deviation 19.36
The Short Musculoskeletal Functional Assessment (SMFA) Score
6 months
15.3 units on a scale
Standard Deviation 13.72
18.6 units on a scale
Standard Deviation 18.75
The Short Musculoskeletal Functional Assessment (SMFA) Score
12 months
11.6 units on a scale
Standard Deviation 14.15
15.6 units on a scale
Standard Deviation 17.6

SECONDARY outcome

Timeframe: 3 months, 6 months, 12 months

Population: Participants analyzed at 3 months - 88 (AP) / 89 (LP) Participants analyzed at 6 months - 68 (AP) / 67 (LP) Participants analyzed at 12 months - 53 (AP) / 51 (LP) Numbers differ due to incomplete data collection or subjects were lost to follow up.

The Bother Index is part of the SMFA. This section focuses on how much the injury is bothering the subject in terms of daily activities and use of injured area. The index totals are between 0-100. The lower the score, the less bothered the subject is by their injury.

Outcome measures

Outcome measures
Measure
Antiglide Plate
n=88 Participants
A plate is placed behind the broken ankle and secured with screws
Lateral Plate
n=89 Participants
A metal plate is placed to the side of the broken ankle and is secured with screws
SMFA - Bother Index
3 months
23.1 units on a scale
Standard Deviation 19.05
25.9 units on a scale
Standard Deviation 20.07
SMFA - Bother Index
6 months
14.1 units on a scale
Standard Deviation 17.48
19.1 units on a scale
Standard Deviation 20.09
SMFA - Bother Index
12 months
12.8 units on a scale
Standard Deviation 18.09
16.6 units on a scale
Standard Deviation 22.04

Adverse Events

Antiglide Plate

Serious events: 1 serious events
Other events: 13 other events
Deaths: 0 deaths

Lateral Plate

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Antiglide Plate
n=119 participants at risk
A plate is placed behind the broken ankle and secured with screws
Lateral Plate
n=114 participants at risk
A metal plate is placed to the side of the broken ankle and is secured with screws
Surgical and medical procedures
Non-Union
0.00%
0/119 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
0.88%
1/114 • Number of events 1 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
Blood and lymphatic system disorders
SUBJECT EXPIRED DUE TO CANCER
0.84%
1/119 • Number of events 1 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
0.00%
0/114 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks

Other adverse events

Other adverse events
Measure
Antiglide Plate
n=119 participants at risk
A plate is placed behind the broken ankle and secured with screws
Lateral Plate
n=114 participants at risk
A metal plate is placed to the side of the broken ankle and is secured with screws
Surgical and medical procedures
PAINFUL IMPLANT-SCREW,PLATE
3.4%
4/119 • Number of events 4 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
1.8%
2/114 • Number of events 2 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
Infections and infestations
Infection
5.9%
7/119 • Number of events 7 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
1.8%
2/114 • Number of events 2 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
Skin and subcutaneous tissue disorders
Necrosis
0.00%
0/119 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
1.8%
2/114 • Number of events 2 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
Vascular disorders
DVT
1.7%
2/119 • Number of events 2 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
0.00%
0/114 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
Cardiac disorders
MYOCARDIAL INFARCTION
0.00%
0/119 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
0.88%
1/114 • Number of events 1 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
Musculoskeletal and connective tissue disorders
Tendonitis
0.00%
0/119 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
0.88%
1/114 • Number of events 1 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
Musculoskeletal and connective tissue disorders
Developed Equinous Contracture
0.84%
1/119 • Number of events 1 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
0.00%
0/114 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
Musculoskeletal and connective tissue disorders
Loosening Hardware
0.00%
0/119 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks
0.88%
1/114 • Number of events 1 • 2 weeks, 6 weeks, 12 weeks, 26 weeks, 52 weeks

Additional Information

Paul Tornetta, III, MD

Boston Medical Center

Phone: 617-414-6295

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place