Surgical treatment: Surgical treatment of suprasyndesmotic ankle fractures
Ankle orthosis: Non-surgical treatment of suprasyndesmotic ankle fractures
Study summary
Weight-bearing radiographs will be used to evaluate the stability of suprasyndesmotic ankle fractures. Patients with stable fractures will be randomised to operative or non-operative treatment.
Eligibility
Sex
ALL
Min age
18 Years
Max age
70 Years
Healthy volunteers
No
Inclusion Criteria:
* patients who present with a closed, isolated fibular fracture classified as suprasyndesmotic (Weber C) with a medial clear space of less than 7 mm in mortise view on primary radiographs.
* presentation less than 14 days after the injury.
Exclusion Criteria:
* previous fractures or ligamentous injury to the injured ankle.
* pathological fracture.
* diabetic neuropathy or other neuropathies.
* drug abuse.
* inability to consent and/or comply.
* inability to understand Norwegian language.
* inability to walk unaided prior to the fracture.
* patients with a concomitant tibial fracture requiring surgical treatment are excluded, but patients with undisplaced concomitant tibial fractures can be included.
* patients from outside the catchment area of the recruiting hospitals. However, they can be included if they are willing to undergo follow-up visits at one of the recruiting hospitals.
Primary outcome measure(s)
Olerud-Molander Ankle Score (OMAS) — The main statistical analysis of the primary outcome will be based on the two-year follow-up. The primary outcome measure is the Olerud-Molander Ankle Score (OMAS), which is a condition-specific, patient-reported measure of ankle-fracture symptoms. OMAS ranges from 0 to 100, with higher scores indicating better outcomes and fewer symptoms.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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