CompletedNot Applicable

Operative Versus Non Operative Treatment for Unstable Ankle Fractures

Canada80 participantsStarted 2003-06

Plain-language summary

The purpose of the study is to compare functional outcomes and recovery following surgical and non surgical treatment of potentially unstable , isolated fibula fractures. Secondary objectives are to compare the re-operation rate, time to union and complications between the two treatment groups. The primary research questions: 1. Does surgery provide a better functional outcome compared to non operative treatment of undisplaced, unstable fractures? 2. Do patients with these fractures return to activities faster after operative or non operative treatment? 3. Are complications more common with operative or non operative care?

Who can participate

Age range18 Years – 65 Years

SexALL

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Inclusion criteria

✓. Skeletally mature male or female \< 65 years of age
✓. Unstable ankle on stress exam: medial clear space ³ 5 mm: no Mortise shift on static radiographs
✓. Unilateral Weber B fibular fractures
✓. Closed fracture
✓. Provision of informed consent -

Exclusion criteria

✕. Fractures not amenable to surgical treatment
✕. Pathologic fracture
✕. Associated injuries to the foot, ankle, tibia, or knee
✕. Associated medial malleolus fracture
✕. Surgical delay of \>2 weeks from time of injury
✕. Previous fracture or retained hardware in the affected limb

What they're measuring

Primary outcome: comparison of physical functioning score on SF36

Timeframe: enrolment, 6 weeks, 3,6 12 months

Trial details

NCT IDNCT00336752

SponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2010-08

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