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The value of arthroscopy in the treatment of complex ankle fractures – a protocol of a randomised controlled trial

Overview of attention for article published in BMC Musculoskeletal Disorders, May 2016
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Title
The value of arthroscopy in the treatment of complex ankle fractures – a protocol of a randomised controlled trial
Published in
BMC Musculoskeletal Disorders, May 2016
DOI 10.1186/s12891-016-1063-2
Pubmed ID
Authors

Mareen Braunstein, Sebastian F. Baumbach, Markus Regauer, Wolfgang Böcker, Hans Polzer

Abstract

An anatomical reconstruction of the ankle congruity is the important prerequisite in the operative treatment of acute ankle fractures. Despite anatomic restoration patients regularly suffer from residual symptoms after these fractures. There is growing evidence, that a poor outcome is related to the concomitant traumatic intra-articular pathology. By supplementary ankle arthroscopy anatomic reduction can be confirmed and associated intra-articular injuries can be treated. Nevertheless, the vast majority of complex ankle fractures are managed by open reduction and internal fixation (ORIF) only. Up to now, the effectiveness of arthroscopically assisted fracture treatment (AORIF) has not been conclusively determined. Therefore, a prospective randomised study is needed to sufficiently evaluate the effect of AORIF compared to ORIF in complex ankle fractures. We perform a randomised controlled trial at Munich University Clinic enrolling patients (18-65 years) with an acute ankle fracture (AO 44 A2, A3, B2, B3, C1 - C3 according to AO classification system). Patients meeting the inclusion criteria are randomised to either intervention group (AORIF, n = 37) or comparison group (ORIF, n = 37). Exclusion criteria are fractures classified as AO type 44 A1 or B1, pilon or plafond-variant injury or open fractures. Primary outcome is the AOFAS Score (American Orthopaedic Foot and Ankle Society). Secondary outcome parameter are JSSF Score (Japanese Society of Surgery of the Foot), Olerud and Molander Score, Karlsson Score, Tegner Activity Scale, SF-12, radiographic analysis, arthroscopic findings of intra-articular lesions, functional assessments, time to return to work/sports and complications. This study protocol is accordant to the SPIRIT 2013 recommendation. Statistical analysis will be performed using SPSS 22.0 (IBM). The subjective and functional outcome of complex ankle fractures is regularly unsatisfying. As these injuries are very common it is essential to improve the postoperative results. Potentially, arthroscopically assisted fracture treatment can significantly improve the outcome by addressing the intra-articular pathologies. Given the absolute lack of studies comparing AORIF to ORIF in complex ankle fractures, this randomised controlled trail is urgently needed to evaluate the effectiveness of additional arthroscopy. ClinicalTrials.gov reference: NCT02449096 (Trial registration date: April 7th, 2015).

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 96 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 96 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 13 14%
Other 12 13%
Student > Master 12 13%
Student > Bachelor 8 8%
Student > Postgraduate 7 7%
Other 14 15%
Unknown 30 31%
Readers by discipline Count As %
Medicine and Dentistry 40 42%
Nursing and Health Professions 6 6%
Sports and Recreations 3 3%
Engineering 3 3%
Neuroscience 2 2%
Other 6 6%
Unknown 36 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 June 2016.
All research outputs
#20,333,181
of 22,877,793 outputs
Outputs from BMC Musculoskeletal Disorders
#3,631
of 4,055 outputs
Outputs of similar age
#265,554
of 311,736 outputs
Outputs of similar age from BMC Musculoskeletal Disorders
#78
of 83 outputs
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