dc.contributor.author | Gregersen, Martin | |
dc.contributor.author | Justad-Berg, Ragnhild Therese | |
dc.contributor.author | Gill, Nicolaj Emil Quist | |
dc.contributor.author | Saatvedt, Ola | |
dc.contributor.author | Aas, L.K. | |
dc.contributor.author | Aas, Lars Kjetil | |
dc.contributor.author | Molund, Marius | |
dc.date.accessioned | 2024-02-23T12:34:01Z | |
dc.date.available | 2024-02-23T12:34:01Z | |
dc.date.created | 2023-10-11T11:09:02Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Bone & Joint Open (BJO). 2023, 4 (9), 713-719. | en_US |
dc.identifier.issn | 2633-1462 | |
dc.identifier.uri | https://hdl.handle.net/11250/3119662 | |
dc.description.abstract | Aims: Treatment of Weber B ankle fractures that are stable on weightbearing radiographs but unstable on concomitant stress tests (classified SER4a) is controversial. Recent studies indicate that these fractures should be treated nonoperatively, but no studies have compared alternative nonoperative options. This study aims to evaluate patient-reported outcomes and the safety of fracture treatment using functional orthosis versus cast immobilization. Methods: A total of 110 patients with Weber B/SER4a ankle fractures will be randomized (1:1 ratio) to receive six weeks of functional orthosis treatment or cast immobilization with a two-year follow-up. The primary outcome is patient-reported ankle function and symptoms measured by the Manchester-Oxford Foot and Ankle Questionnaire (MOxFQ); secondary outcomes include Olerud-Molander Ankle Score, radiological evaluation of ankle congruence in weightbearing and gravity stress tests, and rates of treatment-related adverse events. The Regional Committee for Medical and Health Research (approval number 277693) has granted ethical approval, and the study is funded by South-Eastern Norway Regional Health Authority (grant number 2023014). Discussion: Randomized controlled trials are needed to evaluate alternative nonoperative treatment options for Weber B/SER4a ankle fractures, as current clinical guidelines are based on biomechanical reasoning. The findings will be shared through publication in peer-reviewed journals and presentations at conferences. | en_US |
dc.description.sponsorship | The authors disclose receipt of the following financial or material support for the research, authorship, and/or publication of this article: South-Eastern Norway Regional Health Authority (Helse Sør-Øst RHF), grant number 2023014. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | British Editorial Society of Bone and Joint Surgery | en_US |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/deed.no | * |
dc.subject | Functional orthosis | en_US |
dc.subject | Weber B ankle fractures | en_US |
dc.subject | stress tests | en_US |
dc.subject | Deltoid ligament | en_US |
dc.subject | ankles | en_US |
dc.subject | orthotic devices | en_US |
dc.subject | ankle fractures | en_US |
dc.subject | radiography | en_US |
dc.subject | nonoperative treatment | en_US |
dc.subject | cast immobilization | en_US |
dc.subject | MOxFQ score | en_US |
dc.subject | patient-reported outcomes | en_US |
dc.title | Functional orthosis versus cast immobilization for weightbearing stable Weber B ankle fractures with concomitant unstable gravity stress tests | en_US |
dc.title.alternative | Functional orthosis versus cast immobilization for weightbearing stable Weber B ankle fractures with concomitant unstable gravity stress tests | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © 2023 Author(s) et al. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/ | en_US |
dc.source.pagenumber | 713-719 | en_US |
dc.source.volume | 4 | en_US |
dc.source.journal | Bone & Joint Open (BJO) | en_US |
dc.source.issue | 9 | en_US |
dc.identifier.doi | 10.1302/2633-1462.49.BJO-2023-0012.R1 | |
dc.identifier.cristin | 2183657 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |