Actively Recruiting
Single-Window Versus Two-Window Posterolateral Approach for Malleolar Fractures
Led by muhammed kılıç · Updated on 2026-03-20
100
Participants Needed
1
Research Sites
158 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
The purpose of this prospective clinical trial is to compare the clinical outcomes and early wound 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 (using a posterior antiglide plate) or a two-window technique (using a lateral anatomic plate). The main question the study aims to answer is whether the single-window approach reduces soft-tissue complications by minimizing surgical dissection, without compromising fracture stability. Patients will be followed for 12 months to assess wound healing, ankle range of motion, implant irritation, and functional recovery.
CONDITIONS
Official Title
Single-Window Versus Two-Window Posterolateral Approach for Malleolar Fractures
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients aged between 18 and 65 years
- Acute, closed, unstable rotational ankle fracture involving both posterior malleolus and lateral malleolus
- Fracture type requiring surgical reduction and fixation via a posterolateral approach (e.g., Bartonicek Type II, III, or IV)
- Ability to give informed consent and comply with 12-month follow-up and rehabilitation
You will not qualify if you...
- Open fractures, severe tibial pilon injuries, or fractures with intra-articular comminution beyond the posterior malleolus
- Persistent syndesmotic instability requiring additional fixation after posterior and lateral malleoli repair
- Surgery delayed more than 7 days after injury causing organized hematoma or poor soft-tissue condition
- Severe peripheral arterial disease, uncontrolled diabetes with neuropathy, or severe ipsilateral ankle osteoarthritis
- Previous fractures or surgeries on the same ankle
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
Ankara Bilkent City Hospital
Ankara, Turkey (Türkiye), 06800
Actively Recruiting
Research Team
M
Muhammed Kilic, MD
CONTACT
F
Fatih İnci, Assoc Prof
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here