Management of Fracture Ankle in Adults With Uncontrolled Diabetes by Hind Foot Nail With Versus Without Joint Preparation , in Assiut University Hospital
NCT05039957 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 36
Last updated 2021-09-10
Summary
Diabetes is a well-known risk factor for complications following ankle fracture fixation.Current recommendations for operative treatment of ankle fractures in patients with diabetes consist of increased rigid fixation and prolonged periods of non-weight bearing with minimally invasive techniques.
Yee et al described a treatment algorithm for ankle fractures in diabetes patients based on the extent of their diabetic complications, Adelaide Fracture in the Diabetic Ankle (AFDA) score, and suggest that primary ankle arthrodesis may be an option in severe situations.
Ebaugh et.al. described the technique of fixing the ankle joint in diabetic patients without joint preparation .
Primary hindfoot arthrodesis with Calcaneotibial nail with formal joint preparation was described by many authors as treatment for ankle fractures in diabetic patient .
To our knowledge, there is no comparative study in management of ankle fractures in diabetic patients using these two different techniques.
Our hypothesis is to try to prove that management of diabetic fracture ankle by hindfoot nail without joint preparation is better than other techniques regarding overall lower complication rate, higher functional outcome and better option for treatment of these patients using minimal invasive approaches in those high risk patients.
Conditions
- Figure Out the Best Method of Fixation for Management of Patients With Diabetic Fracture Ankle
Interventions
- OTHER
-
joint preparation
fixation of fracture with joint preparation
- OTHER
-
without joint preparation
fixation of fracture without joint preparation
Sponsors & Collaborators
-
Assiut University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 50 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-09-30
- Primary Completion
- 2022-06-30
- Completion
- 2024-06-30
Countries
- Egypt
Study Locations
More Related Trials
-
Postoperative Computed Tomography Detection of Syndesmotic Malreduction in Ankle Fractures
NCT07338149 ·Status: COMPLETED
-
Routine Versus on Demand Removal of the Syndesmotic Screw
NCT02896998 ·Status: COMPLETED ·Phase: NA
-
Early vs Delayed Weightbearing After Surgical Fixation of Unstable Ankle Fractures With Syndesmosis Disruption
NCT05587842 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Unreamed Intramedullary Tibial Nailing in Treatment of Open IIIa Diaphyseal Tibial Fractures in Adults
NCT06280417 ·Status: NOT_YET_RECRUITING
-
Functional Outcomes Following Ankle Fracture Fixation With or Without Ankle Arthroscopy
NCT06086223 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Ankle Fracture Treatment in the Elderly
NCT01444144 ·Status: COMPLETED
-
Primary Dynamization Versus Standard Interlocking Intramedullary Nail in Treatment of Tibial Shaft Fractures in Adults
NCT06147219 ·Status: RECRUITING ·Phase: NA
-
Tibio-talo-calcaneal Fusion by Hindfoot Nail Versus Open Reduction and Internal Fixation in Treatment of Complex Fractures Distal Tibial and Fragility Ankle Fractures in Elderly
NCT06709365 ·Status: RECRUITING ·Phase: NA
-
Hardware Preservation in Management of Infected Non United or Delayed United Fractures of Long or Short Bones by Debridement and Local Calcium Sulfate Loaded by Antibiotics
NCT05231148 ·Status: UNKNOWN ·Phase: NA
-
Ankle Arthrodesis Nail for 2-level Pathologic Tibial Fracture
NCT04940754 ·Status: UNKNOWN ·Phase: NA
-
Primary Subtalar Arthrodesis Versus Late Subtalar Arthrodesis in Sanders Type IV Calcaneal Fractures
NCT05504304 ·Status: COMPLETED ·Phase: NA
-
Management of Combined Fracture Neck of Femur and Femoral Deformity in Osteogenesis Imperfecta Patient
NCT05878548 ·Status: RECRUITING ·Phase: NA
-
Risk Factors for Post-Operative Nonunion of Tibial Shaft Fractures Based on a Path Analysis Model
NCT03928912 ·Status: COMPLETED
-
Validity of the Non-union Scoring System in Management of Long Bone Fracture Non-union
NCT07207447 ·Status: COMPLETED ·Phase: NA
-
Intramedullary Bone Grafting for Open Tibial Shaft Fractures
NCT03891888 ·Status: RECRUITING ·Phase: NA
-
Result Of Use Of Wide Awake Local Anaesthesia In Fixation Of Ankle Fractures
NCT06395987 ·Status: NOT_YET_RECRUITING
-
Fibular Fixation in Ankle Fractures:Plate Verses Nail.
NCT02507193 ·Status: COMPLETED ·Phase: NA
-
The Therapeutic Effect of Dau-Di-Wu-Gong in Patient With Ankle Fracture
NCT03805347 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Ankle Fracture vs Ankle Fracture-Dislocation
NCT02198768 ·Status: COMPLETED
-
Intramedullary Nailing Versus External Fixation in Open Tibia Fractures in Tanzania
NCT03861624 ·Status: COMPLETED ·Phase: NA
-
Early Weightbearing Versus Non-weightbearing After Operative Treatment of an Ankle Fracture
NCT02029170 ·Status: UNKNOWN ·Phase: NA
-
Operative Versus Non Operative Management Outcomes of Isolated Lateral Malleolar Weber B Ankle Fractures
NCT03625154 ·Status: UNKNOWN ·Phase: NA
-
Comparison of the Results of Complex Ankle Fractures Treated With and Without Ankle Arthroscopy
NCT02449096 ·Status: UNKNOWN ·Phase: NA
-
Evaluate Clinical and Radiological Outcomes After Limb Reconstruction Using Monorail Fixator Over Intramedullary Nailing in Tibial Open Fractures With Bone Loss
NCT05296785 ·Status: UNKNOWN ·Phase: NA
-
Early Weight Bearing for Ankle Fractures
NCT02736370 ·Status: COMPLETED