AS04 Ankle study of fracture treatment in the older patient

ISRCTN ISRCTN81174170
DOI https://doi.org/10.1186/ISRCTN81174170
Secondary identifying numbers 7109
Submission date
23/04/2010
Registration date
23/04/2010
Last edited
12/07/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Ms Bridget Gray
Scientific

Kadoorie Centre for Critical Care Research
Level 3, Headley Way
Headington
Oxford
OX3 9DU
United Kingdom

Study information

Study designRandomised interventional trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleInfluence of ankle skin perfusion on fracture treatment outcomes in the elderly: a randomised controlled trial comparing total contact cast with open reduction and internal fixation, the effect on cutaneous blood supply and relationship to skin complications
Study acronymAS04 Ankle study
Study objectivesCurrent proven treatment methods for ankle fracture in the older patient can be associated with complications due to poor skin, bone or healing. A casting technique, proven successful in treating critical skin breakdown in diabetic patients, has in a local audit shown potential as an alternative treatment in the elderly ankle fracture patient. This study will address the questions:
1. What contribution does the adequacy of the skin blood supply make to healing
2. How does a new cast treatment compare with the 'traditional' open surgical approach with regard to healing and function
Ethics approval(s)Oxfordshire Research Ethics Committee approved on the 1st August 2003 (ref: C03 071)
Health condition(s) or problem(s) studiedTopic: Injuries and Accidents; Subtopic: Injuries and Accidents (all Subtopics); Disease: Injuries & Accidents
InterventionGroup A (comparator): ORIF -
Patients will be anaesthetised and have a surgical open reduction and internal fixation by a contemporary method using metal plates and screws.

Group B (intervention): Close Contact Cast -
Patients will be anaesthetised and undergo closed manipulation of the fracture, and then application of a close contact cast.
Intervention typeOther
Primary outcome measureFunctional outcome at 6 months - using the Olerud and Molander Ankle Score - a self reported score
Secondary outcome measuresSkin complications, radiological assessment, quality of life at 6 weeks and 6 months.
Overall study start date01/05/2004
Completion date31/07/2010

Eligibility

Participant type(s)Patient
Age groupSenior
SexBoth
Target number of participantsPlanned Sample Size: 120; UK Sample Size: 120
Key inclusion criteria1. Unstable ankle fracture
2. Aged over 60 years, either sex
Key exclusion criteria1. Open fractures
2. Multiple injuries
3. Type 1 diabetes
4. Active leg ulceration
5. Critical leg ischaemia
6. Unfit for anaesthesia
Date of first enrolment01/05/2004
Date of final enrolment31/07/2010

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Kadoorie Centre for Critical Care Research
Oxford
OX3 9DU
United Kingdom

Sponsor information

Oxford Radcliffe Hospitals NHS Trust (UK)
Hospital/treatment centre

Research and Development Department
John Radcliffe Hospital
Headley Way
Headington
Oxford
OX3 9DU
England
United Kingdom

Website http://www.oxfordradcliffe.nhs.uk/home.aspx
ROR logo "ROR" https://ror.org/03h2bh287

Funders

Funder type

Research organisation

AO Research Foundation (Switzerland)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Editorial Notes

12/07/2016: No publications found, study status unverified