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International Orthopaedics

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01-03-2020 | Ankle Fracture | Original Paper

Intramedullary fixation versus anatomically contoured plating of unstable ankle fractures: a randomized control trial

Authors: DHS Badenhorst, IPS Terblanche, N Ferreria, MC Burger

Published in: International Orthopaedics | Issue 3/2020

Abstract

Aim

This study compared functional outcomes between anatomical shaped fibular plates and intramedullary nail fixation of adult patients who sustained unstable ankle fractures.

Methods

A prospective randomized control trial was conducted between November 2013 and December 2016 on patients that presented with an unstable ankle fractures. They were randomized into a plate-and-screw group and a fibula nail group. At each post-operative visit the wounds were reviewed, and specific outcome measures were recorded, which included (i) the patient reported outcome measure (PROM) Olerud and Molander functional score, (ii) the Grimby score, (iii) swelling around the malleoli, (iv) plantar flexion, (v) dorsiflexion, (vi) inversion, and (vi) eversion.

Results

Significant differences were observed in scar size (p < 0.001) and screening time (p < 0.001) whilst no differences were observed in functional and PROM measures. Although not statistically significant, of clinical value is one deep infection that occurred in the plate group, whilst no infections occurred in the nail group.

Conclusion

Both fixation methods yielded very similar functional results with differences only in scar size, screening time and swelling. Although none of these warrant a change in surgical decision-making processes, taken together, these factors potentially influence the decisions made in terms of surgical modalities used.

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Title: Intramedullary fixation versus anatomically contoured plating of unstable ankle fractures: a randomized control trial
Authors: DHS Badenhorst
IPS Terblanche
N Ferreria
MC Burger
Publication date: 01-03-2020
Publisher: Springer Berlin Heidelberg
Keyword: Ankle Fracture
Published in: International Orthopaedics / Issue 3/2020
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-020-04482-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Intramedullary fixation versus anatomically contoured plating of unstable ankle fractures: a randomized control trial

Abstract

Aim

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Aim

Methods

Results

Conclusion

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