Summary:
In adults with displaced isolated medial malleolar (MM) fractures, closed reduction and percutaneous fixation (CRPF) significantly reduced time to radiographic union compared to open reduction and internal fixation (ORIF) using identical cannulated screws, though it was associated with no significant increase in complications or inferior functional outcomes.
| PICO | Description |
|---|---|
| Population | Adults (n=50) with isolated, displaced medial malleolar fractures classified according to Herscovici classification. |
| Intervention | Closed reduction and percutaneous fixation (CRPF) using two partially-threaded cannulated cancellous screws. |
| Comparison | Open reduction and internal fixation (ORIF) using the same type of implant—two partially-threaded cannulated cancellous screws. |
| Outcome | CRPF demonstrated a significantly shorter mean time to radiographic union (9.5 ± 2 weeks vs. 10.4 ± 3 weeks, P = 0.026), with no statistically significant differences in final FAAM-ADLs, FAAM-sports, AOFAS score, or VAS pain score. No increased incidence of complications was observed. |
Source: Khalaf Fathy Elsayed Ahmed, et al. “Percutaneous versus open cannulated screws fixation for displaced isolated medial malleolar fractures in adults: a randomized controlled clinical trial.” Read article here.
