Anterograde Headless Screw Fixation For Treatment Of Medial Malleolar Fractures .
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 1
- 试验地点
- 1
- 主要终点
- Anterograde Headless Screw Fixation for Treatment of Medial Malleolar Fractures .
研究概览
简要总结
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.
详细描述
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].
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 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 with Isolted medial malleolar fractures or combined with other fractures [ bimalleolar or trimalleolar Fractures]
- •Individuals meeting the following criteria will be included in the study:
- •Patient Age between 20 _50 Years old.
- •Simple or compound fractures (Grade I).
- •Recent Fractures .
- •Herscovici Type B and C Fractures. a:
排除标准
- •Skeletally Immature . Compound fractures ( Grade II,III). Pathological fractures. Diabetic patients .
结局指标
主要结局
Anterograde Headless Screw Fixation for Treatment of Medial Malleolar Fractures .
时间窗: 1 year
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 media
次要结局
未报告次要终点
研究者
Mohamed Gamal Abdelhakam
Anterograde headless screw fixation for treatment of medial malleolar fractures
Sohag University