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N/A N=21 Randomized Quadruple-blind Diagnostic

Internal Brace Augmented Anterior Inferior Tibiofibular Ligament Repair: Post-operative Syndesmotic Volumes.

Syndesmotic Injuries · Ligament Rupture · Bimalleolar Fractures · Trimalleolar Fractures

Enrolled (actual)
21
Serious AEs
4.8%
Results posted
Feb 2025
Primary outcome: Primary: Syndesmotic Volumetric Ratio — 1.2; 1.1 Volumetric Ratio

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Tight rope fixation (Device); Tight rope fixation with an anterior inferior tibiofibular ligament (AITFL) repair augmentation with an internal brace (Device)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Vann Virginia Center for Orthopaedics dba Atlantic Orthopaedic Specialists
Primary completion
Dec 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Syndesmotic Volumetric Ratio
1.2; 1.1
PRIMARY
Syndesmotic Volumetric Ratio
1.2; 1.1
SECONDARY
36-Item Short Form Survey Instrument (RAND-36) Summary Scores
35.2; 36.3; 45.3; 47.6
SECONDARY
RAND-36 Summary Scores
49.7; 51; 53.3; 54.9
SECONDARY
RAND-36 Summary Scores
49.7; 51; 53.3; 54.9
SECONDARY
RAND-36 Summary Scores
49.7; 51; 53.3; 54.9
SECONDARY
Foot and Ankle Outcome Score (FAOS)
80.5; 87; 73.6; 80.3; 87.1; 90.8
SECONDARY
Foot and Ankle Outcome Score (FAOS)
80.5; 87; 73.6; 80.3; 87.1; 90.8
SECONDARY
Foot and Ankle Outcome Score (FAOS)
80.5; 87; 73.6; 80.3; 87.1; 90.8
SECONDARY
Foot and Ankle Outcome Score (FAOS)
80.5; 87; 73.6; 80.3; 87.1; 90.8

Summary

Over the course of a year from the start of the research study, twenty subjects will be randomized evenly into one of two groups after an informed consent is obtained: a traditional tight rope fixation group or a tight rope fixation with an anterior inferior tibiofibular ligament (AITFL) repair augmentation with an internal brace group. Postoperative reduction was assessed by 3D volumetric ratios and measured by weight-bearing CT at 6-weeks and 3-months post-operation. Patient Reported Outcomes (PROs) were collected preoperatively, and at 6-weeks, 3-months, 6-months, and 1-year post-operation and included the Foot and Ankle Outcome Score and the 36-Item Short Form Survey Instrument (RAND-36) . Differences in volumetric ratios and PROs were evaluated between groups and time periods.

Eligibility Criteria

Inclusion Criteria

  • patients who fit the study injury list

Exclusion Criteria

  • smokers
  • prior surgery on ankle
  • bi-lateral surgery
  • recent participation in another study within the last 90days
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05062265). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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