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Percutaneous vs Open Fixation for Isolated Medial Malleolar Fractures

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Ace Report Cover
October 2025

Percutaneous vs Open Fixation for Isolated Medial Malleolar Fractures

Vol: 307| Issue: 10| Number:22| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Percutaneous versus open cannulated screws fixation for displaced isolated medial malleolar fractures in adults: a randomized controlled clinical trial.

Arch Orthop Trauma Surg . 2025 Jul 25;145(1):385.

Contributing Authors:
KFE Ahmed

Synopsis

Fifty seven patients with displaced isolated medial malleolar fractures were randomized to receive closed reduction and percutaneous fixation (n=28) or open reduction and internal fixation (n=29), both using two partially threaded 4-mm cannulated screws. The primary outcomes were time to radiographic union and complication incidence. Secondary outcomes included FAAM-ADL, FAAM-Sports, AOFAS ankle-h...

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