Comparison of Patients Who Underwent Open and Minimally Invasive Fixation in Lateral Malleolar Fractures
NCT06753656 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 68
Last updated 2025-01-06
Summary
The aim of this study was to compare the postoperative clinical, functional and radiological results of two different surgical methods, minimally invasive percutaneous plate osteosynthesis method and open reduction-internal fixation method, for lateral malleolus fractures in patients presenting with ankle fractures.
Conditions
- Lateral Malleolus Fracture
- Minimally Invasive Surgical Procedure
- Postoperative Pain
- Patient Discharge
Interventions
- PROCEDURE
-
Open Surgery
Open surgery technique: A longitudinal incision is made over the lateral malleolus, followed by sharp dissection down to the bone. The fracture is reduced under direct visualization and fixed with a plate and screws.
- PROCEDURE
-
Minimally Invasive Surgery
Closed surgery technique: A 2-3 cm longitudinal incision is made distal to the lateral malleolus to allow for plate placement. A periosteal elevator is used to create a pathway for the plate. The fracture is reduced in a closed manner using reduction clamps, and the plate position is confirmed fluoroscopically. A second longitudinal incision is made proximal to the fracture, and the plate is temporarily fixed with Kirschner wires. The plate is then used as an external guide, with screws placed through mini-incisions. The fracture is fixed with the plate-screw system in a minimally invasive manner.
Sponsors & Collaborators
-
Giresun University
lead OTHER
Principal Investigators
-
Kürşad Aytekin, M.D. · Giresun University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2022-10-01
- Primary Completion
- 2023-12-01
- Completion
- 2024-12-01
Countries
- Turkey (Türkiye)
Study Locations
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