About this trial
Patients with pilon fractures have a high incidence of talar osteochondral lesions. In this study, patients will undergo ankle arthroscopy at the time of external fixation. The objective is to help determine the incidence of these lesions with pilon fractures and to see if these nano-arthroscopy results change the plan for definitive treatment.
Eligibility criteria
Qualifiers
Age ≥ 18 years (skeletally mature) Tibial plafond fractures with impaction of the articular surface requiring external fixation for temporization AO/Orthopaedic Trauma Association (OTA) Fracture classification 43-C type fractures (excluding posterior pilon or supination-adduction type ankle fractures) Closed injury
Disqualifiers
Prior ankle surgery
Pre-existing ankle arthritis
Unstable polytrauma patients precluding safe temporization
Concomitant talus or calcaneus fractures identifiable on plain radiographs
Trial design
Treatments tested in this trial
- Diagnostic Ankle Nano-Arthroscopy
Treatment groups
Sponsors and collaborators
University of Missouri-Columbia
Lead sponsor
Arthrex, Inc.
Collaborator