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The aim of this study is to evaluate the intraarticular lesions, to identify fractures specifically at risk for these, and to assess the results following arthroscopically assisted open reduction and internal fixation of complex ankle fractures prospectively.
Starting 05/01/13 patients with complex ankle fractures, older than 17 years, who sustained the injury less than 14 days before surgery and giving informed consent are consecutively enrolled. A complex fracture is defined as either an isolated malleolar fracture in combination with ligamentous instability, or a bi- or trimalleolar fracture. An unstable ligamentous injury is defined as either a disruption of the deltoid ligament leading to increased medial talar tilt, or an unstable syndesmotic injury assessed by the external rotation test both after osteosynthesis of all fractures. Exclusion criteria are isolated unimalleolar fractures, pilon fractures, open fractures, multiple injuries, mental illness, incompliance or pregnancy.
Data assessed are:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Arthroscopic assisted ankle fracture treatment | Procedure | Any complex ankle fracture, as discriped above, will be treated arthroscopically and will be prospectively followed-up using well validated PROMs |
| Measure | Description | Time Frame |
|---|---|---|
| OMAS | Olerud and Molander Ankle Score; Validated PROM; Range 0-100 | Through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| ICRS: Clinical Cartilage Injury Evaluation System | Intraarticular cartilage lesions and treatment | IntraOP |
| FAAM | Foot and Ankle Ability Measure, Validated PROM; Range 0-100 |
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Inclusion Criteria:
Exclusion Criteria:
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Patient are being recruted from the investigator's ER or foot and ankle outpatient deparment
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sebastian F Baumbach, MD | Contact | 0049894400 | 519474 | sebastian.baumbach@med.uni-muenchen.de |
| Hans Polzer, MD | Contact | 0049894400 | 52511 | hans.polzer@med.uni-muenchen.de |
| Name | Affiliation | Role |
|---|---|---|
| Wolfgang Böcker, MD | LMU Munich | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Trauma Surgery, Medical University of Munich | Recruiting | Munich | 80336 | Germany |
Data will be shared on reasonable demand / colaboration
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| ID | Term |
|---|---|
| D064386 | Ankle Fractures |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D016512 | Ankle Injuries |
| D007869 | Leg Injuries |
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| Through study completion, an average of 1 year |
| AOFAS | American Orthopaedic Foot and Ankle Society, Validated PROM; Range 0-100 | Through study completion, an average of 1 year |
| FAOS | Foot and Ankle Outcome Score, Validated PROM; Range 0-100 | Through study completion, an average of 1 year |
| TAS | Tegener Activity Scale, Validated PROM; Range 0-10 | Through study completion, an average of 1 year |
| SF-12 | Quality of life score, Validated PROM; Range 0-100 | Through study completion, an average of 1 year |
| EQ-5d | Quality of life score, Validated PROM; Range 0-100 | Through study completion, an average of 1 year |
| MoxFQ | The Manchester-Oxford Foot Questionnaire, Validated PROM; Range 0-100 | Through study completion, an average of 1 year |