Combined Randomised and Observational Study of Surgery for Type B Ankle Fracture Treatment
NCT03083028 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 160
Last updated 2017-03-17
Summary
This study will determine whether operative management confers improved short and long-term outcomes for patients with isolated AO type 44-B1 distal fibula fractures when compared with non-operative management.
Conditions
- Ankle Fractures
Interventions
- PROCEDURE
-
Non Operative
Patients who are treated non-operatively will be treated with a walking boot and allowed WBAT. Discharge from hospital will be determined by the patient walking 25m unaided by standby assistance. All patients will be reviewed between 7 and 14 days post injury with repeat x-rays by the treating surgeon.
- PROCEDURE
-
Open reduction internal fixation of the ankl
The specific procedure for each patient managed operatively, both in the observational study and the RCT, will be determined by the operating surgeon. Any adverse intra-operative or post-operative event will be recorded. This includes but is not limited to death, infection and neurovascular injury. Post operatively, all patients will be NWB (non weight bearing) and placed in a POP (plaster of paris) below knee cast or walking boot. Discharge from hospital will be determined by the patient walking 25m unaided by standby assistance. The treating surgeon will review the patients after 10-14 days for a wound review, removal of sutures and change of cast to a fibreglass cast or walking boot (cam walker). The patient will be WBAT (weight bearing as tolerated) for a further 4 weeks.
Sponsors & Collaborators
-
The University of New South Wales
lead OTHER
Principal Investigators
-
Rajat Mittal, BSc (Med), MBBS, MMed, MS · University of New South Wales
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-08-31
- Primary Completion
- 2019-09-30
- Completion
- 2019-12-31
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