Comparing two surgical methods for treating complex ankle and tibial fractures in older adults

Tibio-talo-calcaneal Fusion by Hindfoot Nail Versus Open Reduction and Internal Fixation in Treatment of Complex Fractures Distal Tibial and Fragility Ankle Fractures in Elderly

Not applicable Interventional Sohag University · NCT06709365

This study is testing which surgery works better for older adults with complex ankle and leg fractures: a special fusion technique or a traditional method.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment40 (estimated)
Ages1 Year to 2 Years
SexAll
SponsorSohag University Academic / other
Locations1 site (Sohag)
Trial IDNCT06709365 on ClinicalTrials.gov

What this trial studies

This clinical trial evaluates the effectiveness of tibio-talo-calcaneal fusion using a hindfoot nail compared to open reduction and internal fixation for treating complex distal tibial fractures and fragility ankle fractures in elderly patients. The study aims to determine which surgical approach provides better outcomes in terms of recovery and functionality. Participants will be elderly individuals over 65 years old with specific types of fractures, and the trial will assess their surgical fit for the procedures.

Who should consider this trial

Good fit: Ideal candidates for this study are elderly patients over 65 years old with complex distal tibial or fragility ankle fractures.

Not a fit: Patients with undisplaced unimalleolar ankle fractures, pathological fractures, or those under 65 years old may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved surgical outcomes and recovery for elderly patients with complex ankle and tibial fractures.

How similar studies have performed: While this specific approach may be novel, similar studies comparing surgical techniques for fracture treatment in elderly patients have shown promising results.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* pilon fractures complex distal tibial fractures ankle comminuted fractures age more than 65yrs osteoprotic fractures surgically fit patients

Exclusion Criteria:

Ankle fractures unimalleolar undisplaced Pathological fractures Young adults DVT Peripheral vascular diseases Age less than 65 Unfit patient for surgery

\-

Where this trial is running

Sohag

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Fragility Ankle Fractures and Complex Distal Tibial Fractures
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.