A Noninferiority RCT Comparing Operative vs Nonoperative Treatment for ER-stress Positive Weber-B Unimalleolar Fractures
Lateral Malleolus Fracture
About this trial
This is an interventional treatment trial for Lateral Malleolus Fracture focused on measuring ER-stress positive, Unimalleolar fibula fracture, Operative vs non-operative treatment
Eligibility Criteria
Inclusion Criteria:
- Weber B unimalleolar ankle fracture
- Age: 16 years or older
- Voluntary
- Operated within 7 days of the trauma
- Walking without aid before accident
Exclusion Criteria:
- Peripheral neuropathy
- Pilon fracture
- Bilateral ankle fracture
- Simultaneous crural fracture
- Pathological fracture
- Active infection around the ankle
- A previous ankle fracture or significant medial ligament trauma
- Lives outside our hospital district or a foreigner
- Co-operation is insufficient
Sites / Locations
- OYS, Oulu university hospital, Department of orthopedic and traumatology
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Non-operative
Surgery
Non-operative treatment with six weeks in a below-the-knee cast. Partial weight-bearing (15 to 20 kilograms) for the first four weeks and then weight-bearing as tolerated for the remaining two weeks.
Open reduction and internal fixation with 1/3 semitubular plate and screws. Post-operatively, surgically treated ankles are placed in a below-the-knee cast for six weeks. They are advised to carry out partial weight-bearing (15 to 20 kilograms) for the first four weeks and then weight-bear as tolerated for the remaining two weeks.