Surgical Management of Posterior Malleolar Fractures Using the Direct or Indirect Reduction Techniques
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Posterior Malleolus Fractures
- Sponsor
- The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
- Enrollment
- 148
- Locations
- 1
- Primary Endpoint
- American Orthopaedic Foot and Ankle Society ankle-hindfoot score
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
Patients with a posterior malleolar fracture were recruited and assigned to the direct reduction (DR) group or the indirect reduction (IR) group. Following reduction and fixation of the fracture, the quality of fracture reduction was evaluated in radiograph and CT images. Functional outcome was evaluated at the last follow-up.
Detailed Description
Patients with a posterior malleolus fracture were recruited meeting the inclusion criteria of unstable and displaced posterior malleolar fractures requiring surgical management. Patients with open fractures or pathological fractures were excluded. Preoperative anteroposterior (AP), lateral, and mortise view radiographs as well as computed tomography (CT) scans were routinely obtained to evaluate the characteristic of the fracture. Patients were then assigned to the direct reduction (DR) group or the indirect reduction (IR) group. Following reduction and fixation of the fracture using the direct reduction technique or the indirect reduction technique, the quality of fracture reduction was evaluated in radiograph and CT images. Functional outcome,including AOFAS score, ankle range of motion were evaluated at the last follow-up.
Investigators
Jin XIONG
Director in the Department of Orthopaedics
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Eligibility Criteria
Inclusion Criteria
- •unstable ankle fracture requiring surgical intervention
- •with posterior malleolar fracture
Exclusion Criteria
- •open fractures
- •pathological fractures
Outcomes
Primary Outcomes
American Orthopaedic Foot and Ankle Society ankle-hindfoot score
Time Frame: 1 year
Secondary Outcomes
- ankle range of motion in degrees(1 year)
- residual displacement of the posterior malleolus in mm(3 days postoperatively)