Tension Band Wiring Versus Cannulated Screws in Fixation of Medial Malleolus in Ankle Fracture: Randomized Comparative Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Modified Olerund and Molander scoring system
研究概览
简要总结
This is a prospective randomized study conducted on 30 patients with an age spanning between 20 and 55 years. Half of the sample was treated by tension band wiring for closed medial malleolar fractures, and the other half by two cannulated screws. The patients were assessed at (6w-3months and 6months) for clinical and radiological union and evaluated functionally (12 months) using modified Olerund and Molander scoring system.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged from 20-55 years.
- •Isolated or bimalleolar ankle fractures.
- •Closed fractures.
排除标准
- •Patient with poor bone quality on x ray (radiological osteopenia, thinning of the cortices, loss of trabecular definitions and previous insufficiency fractures)
- •Type D isolated medial malleolus, supination adduction (vertical malleolar) fractures.
- •Comminuted fractures.
- •Skeletally immature patients.
研究组 & 干预措施
Tension band wiring
This group was treated by k-wires fixation and tension band wiring
干预措施: Tension band wires (Procedure)
Cannulated screws
This group was treated by 2 cannulated screws
干预措施: Cannulated screws (Procedure)
结局指标
主要结局
Modified Olerund and Molander scoring system
时间窗: The functional outcome was measured in all patient 12 months after surgery
Ankle functional outcome
次要结局
未报告次要终点
研究者
Sherwan Ahmed Ali Hamawandi
Assistant professor of orthopedic surgery
Hawler Medical University