Fixation of Medial Malleolar Fractures .

NCT ID: NCT07148375

Last Updated: 2025-08-29

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 1 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-01-01
• Study Completion Date: 2026-02-01

Brief Summary

The aim of this study is to evaluate the functional and radiological outcomes following of fixation of Herscovici type B and type C medial malleolar fractures with anterograde headless screws.

Detailed Description

Ankle fracture is one of the most common orthopaedic injuries[1]. Medial Malleolus fractures are Classified According to Herscovici classification Using the anteroposterior (AP) radiograph, he described type A fractures as avulsions of the tip of the malleolus, type B occurring between the tip and the level of the tibial plafond, type C at the level of the plafond, and type D extending vertically above the plafond [2].

The aim of operative treatment in ankle fractures is to provide stable internal fixation and allow early movement . Several fixation techniques had been described for the anatomic reduction of fractures, including Kirschner wires (K-wire), tension band method, fixation with suture anchors, bioabsorbable screw fixation, a FiberWire loop with a tension band, and screw fixation[3].

In addition to these techniques, fixation with anterograde screws can also be used for medial malleolar fixation. Given that with time the size of the fractured distal fragment in a medial malleolar fracture is insufficient for retrograde fixation as ln Herscovici type B and type C[4].

Screws are commonly used to fix medial malleolus fractures , offering advantages like good compression and stability[5]. the advantage of the anterograde headless screw fixation technique over the other techniques is that less dissection of the deltoid ligament is required during fixation , no need for screws removal , less soft tissue irritation and less discomfort [6].

Conditions

Anterograde Screw Fixation for Medial Malleolus Fractures

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Any patient with medial Malleolus fracture

Anterograde herbert screws for fixation of medial Malleolus fractures

Group Type: EXPERIMENTAL

Anterograde screws for medial Malleolus fractures

Intervention Type: PROCEDURE

Fixation of medial Malleolus fracures by anterograde headless screws

Interventions

Anterograde screws for medial Malleolus fractures

Fixation of medial Malleolus fracures by anterograde headless screws

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

Individuals meeting the following criteria will be included in the study:

1. Patient Age between 20 _50 Years old.

2. Simple or compound fractures (Grade I).

3. Recent Fractures .

4. Herscovici Type B and C Fractures. a:

-

Exclusion Criteria

• Skeletally Immature . Compound fractures ( Grade II,III). Pathological fractures. Diabetic patients .

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 55 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Sohag University

OTHER

Sponsor Role: lead

Responsible Party

Mohamed Gamal Abdelhakam

Anterograde headless screw fixation for treatment of medial malleolar fractures

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Sohag faculty of medicine

Sohag, , Egypt

Countries

Egypt

Other Identifiers

Soh-Med--25-8-1MS

Identifier Type: -

Identifier Source: org_study_id