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

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorOstfold Hospital Trust

About this trial

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

Eligibility criteria

Qualifiers

-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

Disqualifiers

- 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)

Trial design

Treatments tested in this trial

  • Non-operative treatment

Treatment groups

29 Participants
are divided into 1 treatment group

Sponsors and collaborators