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Fixation Of Medium Sized Posterior Fragments In Type B Ankle Fractures Offers No Short-Term Benefit

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Ace Report Cover
July 2025

Fixation Of Medium Sized Posterior Fragments In Type B Ankle Fractures Offers No Short-Term Benefit

Vol: 307| Issue: 7| Number:57| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Open reduction and fixation does not improve short-term outcome of medium-sized posterior fragments in AO type B ankle fractures: one-year results of the POSTFIX randomized controlled trial.

Bone Joint J . 2025 Apr 1;107-B(4):461-469.

Contributing Authors:
AL Franx SM Verhage P Krijnen ELL Twiss IB Schipper JM Hoogendoorn

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Synopsis

Eighty-one patients with AO-44B3 trimalleolar ankle fractures and medium-sized posterior malleolar fragments were randomized to undergo open reduction and internal fixation (FIX, n=41) or no fixation (NO-FIX, n=40). The primary outcome was functional outcome at one year, measured by the American Academy of Orthopaedic Surgeons (AAOS) questionnaire. Secondary outcomes included radiographic osteoart...

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