Operative versus nonoperative treatment of unstable lateral malleolar fractures: a randomized multicenter trial

Journal of Orthopaedic Trauma
David W SandersCanadian Orthopedic Trauma Society

Abstract

To compare clinical and functional outcomes after operative and nonoperative treatment of undisplaced, unstable, isolated fibula fractures. Randomized multicenter clinical trial. Six level 1 trauma centers. Eighty-one patients with undisplaced, unstable, isolated fibula fractures as confirmed by an external rotation stress examination demonstrating an increase in medial clear space to 5 mm or greater were followed for 12 months after treatment. Forty-one patients were treated operatively by open reduction and internal fixation of the fibula. Forty patients underwent nonoperative treatment, which included the use of a short leg cast or brace and protected weight bearing for 6 weeks. Functional outcomes determined using the Olerud-Molander Ankle Score and the Short Form 36. Radiographic outcomes included measurement of union and displacement at each visit. There were no statistically significant differences in functional outcome scores or pace of recovery between the operative and nonoperative groups at any time interval (β = -0.28, 3.49; P = 0.936). Complications in the nonoperative group included 8 patients with a medial clear space ≥5 mm and 8 patients with delayed union or nonunion. In the operative group, 5 patients had a su...Continue Reading

References

Jan 1, 1984·Archives of Orthopaedic and Trauma Surgery·C Olerud, H Molander
Feb 1, 1997·Journal of Orthopaedic Trauma·G L BelcherP G Trafton
Dec 31, 1997·The Journal of Bone and Joint Surgery. American Volume·D B ThordarsonS Bakshian
Jun 13, 2001·Clinical Orthopaedics and Related Research·J D MichelsonM Checcone
Jan 10, 2002·Journal of Orthopaedic Trauma·William T ObremskeyC Michael LeCroy
Oct 7, 2004·The Journal of Bone and Joint Surgery. American Volume·Timothy McConnellPaul Tornetta
Nov 4, 2004·The Journal of Bone and Joint Surgery. American Volume·Kenneth A EgolKenneth J Koval
Oct 26, 2005·Journal of Orthopaedic Trauma·Richard J JenkinsonJeanette Lydestadt
May 3, 2007·The Journal of Bone and Joint Surgery. American Volume·J Brian GillRobert C Schutt
Sep 6, 2007·The Journal of Bone and Joint Surgery. British Volume·H J SchockM Stover

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Citations

Jan 29, 2013·Irish Journal of Medical Science·E G KellyS F Morris
Apr 5, 2012·Journal of Orthopaedic Trauma·Gerard P SlobogeanUNKNOWN Canadian Orthopedic Trauma Society
Oct 2, 2014·The Journal of Orthopaedic and Sports Physical Therapy·Paula R BeckenkampAnne M Moseley
Jan 15, 2015·Acta Orthopaedica. Supplementum·Mikko Ovaska
Aug 11, 2016·The Journal of the American Academy of Orthopaedic Surgeons·James R HolmesTodd A Irwin
Apr 8, 2016·The Journal of Bone and Joint Surgery. American Volume·Sannamari LepojärviHannu-Ville Leskelä
Dec 3, 2016·Foot & Ankle International·Ogheneochuko MetitiriJohn Y Kwon
Apr 2, 2016·The Cochrane Database of Systematic Reviews·Denise E YeungSimon L Barker
Feb 21, 2018·Foot & Ankle International·Benjamin R WilliamsMarc F Swiontkowski
Jul 5, 2018·Foot & Ankle International·Elizabeth B GausdenDean G Lorich
Sep 21, 2018·The Journal of Bone and Joint Surgery. American Volume·Bi O JeongJi Seon Park
Oct 3, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Amiethab A AiyerJonathan R M Kaplan
Nov 27, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Simon LeeDaniel D Bohl
Jul 25, 2019·Journal of Orthopaedic Trauma·Chad P ColesUNKNOWN Orthopaedic Trauma Associationʼs Evidence-Based Quality Value and Safety Committee
Oct 11, 2019·Foot & Ankle International·Isabel RosaJosé Guimarães Consciência
Aug 20, 2019·Journal of Orthopaedic Trauma·Heather A VallierPaul Tornetta
Oct 1, 2019·Orthopaedic Nursing·Patrick Graham
Jul 23, 2019·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Stephen J WarnerDean G Lorich
Jul 15, 2020·Foot & Ankle International·Kimberly K BroughtonJohn Y Kwon
Jul 30, 2017·BMC Research Notes·Rajat MittalJustine M Naylor
Nov 21, 2014·The Journal of Bone and Joint Surgery. American Volume·Simo NortunenHarri Pakarinen
Jan 30, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Christopher FenelonStephen R Kearns
Feb 11, 2021·BMC Musculoskeletal Disorders·Michael ZyskowskiChlodwig Kirchhoff
Mar 24, 2021·The Orthopedic Clinics of North America·Casey M Beleckas, Jan P Szatkowski
Sep 15, 2020·Journal of Orthopaedic Trauma·Sini KarkkolaHannu-Ville Leskelä

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