Posterior Plating Versus Anterior to Posterior Screws in Fixation of Posterior Column in Pilon Fractures
1 other identifier
interventional
30
1 country
1
Brief Summary
Management of comminuted distal tibia fracture (pilon fracture) is still a challenging field. It is recently done guided by the new four column theory of distal tibia. Several approaches were advocated to address and fix each column. Fixation of posterior column is still a wide debate among orthopedic surgeons. This study is conducted to compare outcomes between two modalities for the management of posterior column fracture in pilon fractures.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Nov 2020
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2022
CompletedFirst Submitted
Initial submission to the registry
March 10, 2022
CompletedFirst Posted
Study publicly available on registry
March 31, 2022
CompletedMarch 31, 2022
March 1, 2022
1.1 years
March 10, 2022
March 21, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
The American Orthopaedic Foot and Ankle Society (AOFAS) scoring system
A system measuring function, alignment and pain in the operated ankle. The score maximum is 100 points, where a higher score indicates better recovery .
up to one year
Study Arms (2)
Posterior plating group
EXPERIMENTALFix the posterior fragment using a buttress plate through a posterolateral approach by an interval between flexor hallucis longus and peroneii.
Anterior to posterior group
ACTIVE COMPARATORFix the posterior fragment using anterior to posterior 4.0 mm cannulated screws under xray guidance.
Interventions
anterior to posterior screws in classic arm and posterolateral approach in new arm group
Eligibility Criteria
You may qualify if:
- Two, Three and four column pilon fracture
You may not qualify if:
- Pathological fractures.
- Pediatric age group with open physis.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ain Shams University
Cairo, 12221, Egypt
Related Publications (1)
Baraka MM, Fayyad TA, Thakeb MF, Lamei MA, Al Kersh MA. Posterior Plating Versus Anterior to Posterior Screws in Fixation of Posterior Column in Pilon Fractures. J Orthop Trauma. 2025 Jun 1;39(6):288-295. doi: 10.1097/BOT.0000000000002966.
PMID: 39976678DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Tamer Fayyad, MD
Ain Shams University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 10, 2022
First Posted
March 31, 2022
Study Start
November 1, 2020
Primary Completion
November 30, 2021
Study Completion
March 1, 2022
Last Updated
March 31, 2022
Record last verified: 2022-03
Data Sharing
- IPD Sharing
- Will not share