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Single-Window Versus Two-Window Posterolateral Approach for Malleolar Fractures
Sponsor: muhammed kılıç
Summary
The purpose of this prospective clinical trial is to compare the clinical outcomes and early complication rates of two different surgical techniques used during the posterolateral approach for ankle fractures. Participants with fractures involving the posterior and lateral malleoli will undergo surgery using either a single-window technique or a two-window technique. The main question the study aims to answer is whether the single-window approach reduces complications rates by minimizing surgical dissection, without compromising fracture stability. Patients will be followed for 12 months to assess wound healing, ankle range of motion, tendon irritation, and functional recovery.
Official title: Single-Window Versus Two-Window Posterolateral Approach for Malleolar Fractures: A Prospective Randomized Comparison of Clinical and Radiological Outcomes
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
100
Start Date
2024-02-14
Completion Date
2027-10
Last Updated
2026-10-08
Healthy Volunteers
No
Interventions
Single-Window Posterolateral Approach
Posterolateral approach with a single deep soft-tissue window between the peroneal tendons and the flexor hallucis longus, through which both the posterior malleolus and the lateral malleolar (fibular) fracture are reduced and fixed. Fibular plate type is selected intraoperatively according to fracture morphology.
Two-Window Posterolateral Approach
Posterolateral approach in which the posterior malleolus is fixed through the posterolateral window, and a second, more lateral window is developed by retracting the peroneal tendons to expose the fibula directly for fixation of the lateral malleolar fracture. Fibular plate type is selected intraoperatively according to fracture morphology.
Locations (1)
Ankara Bilkent City Hospital
Ankara, Turkey (Türkiye)