Arthroscopic Assisted Open Reduction Internal Fixation Versus Open Reduction Internal Fixation in Ankle Fractures

Prospective Randomized Clinical Trial evaluating patients with ankle fractures undergoing
AORIF versus ORIF

Participants will be randomized into 2 different surgical groups, one group receiving only
ORIF and the other group receiving AORIF.

As standard of care patients will follow up in the office at approximately 3 weeks, 6 weeks
and 12 weeks post operatively. Patients will be immobilized in a splint and will be
non-weight bearing until their 3 week post-op visit. At the 3 week post-op visit, the
patient will be fitted in a boot, be instructed to begin self-directed ROM and to continue
non-weight bearing. At the 6 week post-op visit, the patient will begin weight bearing in
the boot.

In office study visit will occur at these same times. At each visit weight bearing status,
return to sports, pain level, AOFAS and FAAM will be assessed. One additional study visit
will be conducted over the phone or by mail at approximately one year post operatively and
will consist of the FAAM.

Inclusion Criteria:

- Closed ankle fractures (44A, 44B, 44C)

- Ages of 18-65

- Men or women, including pregnant women

- Willing to consent

Exclusion Criteria:

- Open fractures

- Other lower extremity injuries/conditions that affects functional outcomes

- Problems maintaining follow up (homeless, not willing to return for follow up)

- Prisoners

- Unable to consent