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

NCT ID: NCT05765929

Last Updated: 2023-08-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-28

Study Completion Date

2032-12-31

Brief Summary

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

Detailed Description

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Conditions

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Ankle Fracture, Bimalleolar Ankle Fracture, Trimalleolar

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Non-operative treatment

Non-operative treatment based on weightbearing radiographs

Group Type EXPERIMENTAL

Non-operative treatment

Intervention Type OTHER

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

Interventions

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Non-operative treatment

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

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* -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
* 18-75 years of age
* with pre-injury walking ability without aids

Exclusion Criteria

* \- 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ostfold Hospital Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Østfold Hospital Trust

Sarpsborg, Østfold fylke, Norway

Site Status RECRUITING

Countries

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Norway

Central Contacts

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Marius Molund, PhD

Role: CONTACT

0047 90093988

Silje Karlsen

Role: CONTACT

0047 90761773

Facility Contacts

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Marius Molund, MD, PhD

Role: primary

+4790093988

Grûn, MD

Role: backup

Other Identifiers

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47891

Identifier Type: -

Identifier Source: org_study_id

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