AORIF Complex Ankle Fractures

Study Overview
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Brief Summary
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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.

Detailed Description
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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: Demographics Medical history Classification (AO, Haraguchi, ICRS, location and size defect) Surgery details Complications PROMs (FAAM, AOFAS, OMAS, FAOS, TAS, SF-12, EQ-5d, MoxFQ)

Official Title
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Arthroscopically Assisted Treatment of Complex Ankle Fractures - Intraarticular Findings and Prospective PROM Follow-Up

Conditions
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Ankle Fractures

Intervention / Treatment
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* Procedure: Arthroscopic assisted ankle fracture treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Unimalleolar fracture + ligamentous injury Bi- or trimalleolar fracture ± ligamentous injury > 17 years Date of injury less than 15 days Written informed consent Exclusion Criteria: Isolated unimalleolar fracture Pilon fracture Open fracture Mental illness, incompliance, pregnancy Multiple injuries

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Procedure: Arthroscopic assisted ankle fracture treatment|Any complex ankle fracture, as discriped above, will be treated arthroscopically and will be prospectively followed-up using well validated PROMs|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| OMAS | Olerud and Molander Ankle Score; Validated PROM; Range 0-100 | Through study completion, an average of 1 year | 

Secondary Outcome Measures

| Outcome Measure | 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 | 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Arthroscopy, Ankle Fracture, Patient rated outcome