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Ankle Fractures clinical trials

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NCT ID: NCT01797640 Completed - Tibial Fractures Clinical Trials

Intramedullary Nailing of Tibia Fractures

Start date: October 2012
Phase: N/A
Study type: Observational

Currently, the treatment of choice for tibial fracture is intramedullary nailing. This procedure has been shown to have low rates of infection, high rates of bone healing, and a faster return to weight bearing and activity in comparison to conservative treatment. In concurrent fractures of the posterior or medial malleolus and the tibia, it is now common to identify, reduce, and fix the malleolar fracture prior to intramedullary nailing of the tibia. In this retrospective study, our aim is to establish that reducing malleolar fractures prior to tibial nailing is a safe treatment in which the reduction of the malleolus is maintained intraoperatively, postoperatively, and remains reduced until the fracture has healed.

NCT ID: NCT01758835 Completed - Clinical trials for Lateral Malleolus Fractures

PRCT-study of Different Non-operative Treatment Protocols of ER-stress Negative Weber-B Unimalleolar Ankle Fractures.

Start date: October 2012
Phase: N/A
Study type: Interventional

PRCT multicenter study to evaluate non-operative treatment protocols for treating ER-stress negative unimalleolar Weber-B type fibular fractures. Groups are: 1. 3 weeks in a removable splint 2. 3 weeks in a cast and 3. 6 weeks in a cast. Follow-up visits at 3, 6 and 12 weeks and after 1 and 2 years after injury. In each time X-rays laterally and mortise projections. Ankle functional outcome questionnaires: Olerud-Molander score, FAOS RAND-36 and VAS in follow up-visits 6 and 12 weeks and 1 and 2 year.

NCT ID: NCT01758796 Active, not recruiting - Clinical trials for Lateral Malleolus Fracture

A Noninferiority RCT Comparing Operative vs Nonoperative Treatment for ER-stress Positive Weber-B Unimalleolar Fractures

Start date: January 2013
Phase: N/A
Study type: Interventional

Current gold standard treatment for unstable (those found unstable in external rotation (ER) stress testing Weber B-type, Lauge-Hansen supination-external rotation type IV) ankle fractures is open reduction and internal fixation (ORIF) with semitubular plates and screws. However, there is some preliminary evidence to suggest that these type of fibula fractures can be managed non-operatively with comparable functional outcome. The aim of this randomized, non-inferiority trial is to assess whether non-operative treatment (cast immobilisation) yields a non-inferior functional outcome compared to surgery with no excess harms (primarily, fracture and wound healing problems and infection).

NCT ID: NCT01757951 Suspended - Trauma Clinical Trials

Unimalleolar Versus Bimalleolar Fixation in Bi- or Trimalleolar Ankle Fracture

Start date: February 2012
Phase: N/A
Study type: Interventional

A one third of all ankle fractures are bi- or trimalleolar. Traditionally these fractures are treated by both medial and lateral osteosynthesis, sometimes accompanied by osteosynthesis of the posterior malleolus. There is significant evidence that fractures of the lateral malleolus can be treated conservatively if the medial side is stable. However, there isn't a single study comparing standard bi- or trimalleolar fixation with only medial side osteosynthesis and postoperative immobilization with a cast.

NCT ID: NCT01742650 Completed - Trauma Clinical Trials

Screw Versus Tightrope Syndesmotic Injury Fixation in Weber C Ankle Fractures

Start date: July 2010
Phase: N/A
Study type: Interventional

The aim of our study is to compare two different syndesmosis transfixation methods in AO/OTA Weber C ankle fractures. Our hypothesis is that 50% of screw fixed fibulas but only 5% of suture-button fixed fibulas are in malposition. All skeletally mature patients (16 years or older) with AO/OTA Weber C type fractures operated within a week after trauma are consecutively included into the study. The tibiofibular transfixation is randomly performed either by a 3,5 mm tricortical screw or a suture-button (TightRope). Malposition of the tibiofibular joint is assessed in an intraoperative computed tomography. Clinical outcome is assessed by using Olerud-Molander, RAND ja 36-Item Healt Survey after 1-year from the injury.

NCT ID: NCT01729195 Completed - Ankle Fracture Clinical Trials

Ankle Syndesmosis Fixation by Antibiotic Releasing Bioabsorbable Screw

Start date: March 2006
Phase: Phase 2
Study type: Interventional

This single-center randomized trial evaluates the efficacy and safety of a new bone screw (antibiotic releasing bioabsorbable screw) in fixation of syndesmosis in patients with Weber C-type ankle fractures. The comparison is made to subjects treated by conventional metal screw fixation of the syndesmosis. The primary objective is to show that the antibiotic releasing bioabsorbable screw is at least as good as the routinely used metal screw in prevention of syndesmosis widening in patients with Weber C-type ankle fractures. The secondary objective is to show that the clinical outcome of the ankle fracture treatment is equal between patients treated by the antibiotic releasing bioabsorbable screw and the conventional metal screw.

NCT ID: NCT01654393 Unknown status - Ankle Fracture Clinical Trials

Triage Nurse Initiated Radiographs According to OAR

Start date: July 2012
Phase: N/A
Study type: Interventional

The purpose of the study is to help doctors in emergency departments know whether triage nurse initiated radiographs, in accordance to the Ottawa ankle rule, before emergency physician assessment will shorten emergency patients' visit. The investigators will examine the number of missed fractures between the two groups, the emergency physicians' willingness to apply OAR and triage nurses' satisfaction.

NCT ID: NCT01616173 Completed - Fracture of Ankle Clinical Trials

Analgesic Benefits of Perineural Versus Intravenous Dexamethasone in Patients Receiving Sciatic Nerve Block

Start date: June 2012
Phase: Phase 4
Study type: Interventional

Patients scheduled to have foot and ankle surgery will typically receive a single shot sciatic nerve block to serve as the primary anesthetic and as part of a multi-modal post-operative analgesic plan. The investigators are investigating the use of perineural dexamethasone together with local anesthetics can improve the quality of recovery for patients receiving sciatic nerve blocks for foot and ankle surgery.

NCT ID: NCT01561365 Completed - Ankle Sprain Clinical Trials

Applicability of the Ottawa Ankle Rules

Start date: October 2003
Phase: N/A
Study type: Interventional

The aim of this prospective study was to compare outcomes in patients handled by emergency physician according to OAR versus by an orthopedic resident. 92 consecutive patients with ankle injuries attending our emergency department were divided in two groups. The study group comprised 32 patients who arrived during the morning shift and were examined by an emergency physician according to OAR. Patients discharged without an x-ray were followed in the clinic or by telephone communication. The control group constituted 60 patients who were examined during the evening and night shifts by orthopedic residents unaware of this study.

NCT ID: NCT01493167 Completed - Bone Fracture Clinical Trials

Study on Wood-plastic Composite for Circumferential Casting

WOODCAST
Start date: December 2011
Phase: N/A
Study type: Observational

The purpose of study is to verify that WOODCAST Circular system performs safely and effectively in its intended use.