$Lateral malleolus fracture$

#Lateral malleolus fracture trial

Posterior Malleolus Fractures Ankle Fractures Syndesmotic Injuries Patient Reported Outcome Measure Treatment Outcome Mason and Molly type 2A and 2B fractures will be included in the study. The current study can contribute new knowledge and thereby contribute to an evidence-based approach to treating these patients. Treatment today is often based on local tradition and retrospective, ambiguous literature.10 As there is no clear evidence supporting the choice to fixate, or not fixate, the posterior malleolus fracture. Patients will be recruited at six study hospitals from all Regional Health Trusts in Norway.

#Lateral malleolus fracture trial

Through a multicenter prospective randomized controlled trial initiated from Haukeland University Hospital, patients will be recruited and randomized to receive treatment with or without fixation of the PMF. There are no available randomized controlled studies examining PROM in patients after surgery with fixation versus no fixation for the PMF. However, there is no consensus as to what the best treatment is. Studies suggest fracture reduction is better with a posterior approach. A more novel posterior approach to the ankle for open reduction and internal fixation is increasingly popular and has led to fixation of smaller and medium-sized PMFs. Traditionally, these PMFs have been treated with closed reduction, without direct manipulation of the PMF, anteroposterior screw fixation, or even no-fixation of the smaller fragments. It is one of the most debated areas within ankle fracture surgery. For this reason, the indication and choice of intervention for these fractures have been the object of increased interest over the recent years.

$lateral malleolus fracture$

Patients with a PMF were recently shown to have significantly lower patient-reported outcome measures (PROM) than the general population. Weber B fractures are the most common type of fractures of the fibula, located at the height of the syndesmosis. A posterior malleolar fragment (PMF), located on the lower backside of the tibia, is present in up to 46% of Weber B.

$lateral malleolus fracture$

Why Should I Register and Submit Results?ДЄnkle fractures constitute 9% of all fractures and have an incidence of approximately 187 per 100,000 persons per year in Norway.

$Lateral malleolus fracture$