Which surgery is best for frail seniors with broken ankles? new study aims to find out
NCT ID NCT05131321
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares two types of surgery for unstable ankle fractures in frail adults aged 60 and older. One group gets ankle fusion (joining the bones together), and the other gets open reduction and internal fixation (using plates and screws to hold the bones in place). A second part of the study also compares a less invasive nailing technique to standard fixation. The goal is to see which approach leads to better quality of life and less pain one year after surgery.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- surgery (ankle fusion or open reduction and internal fixation)
- What this could lead to
- If this trial succeeds, it could identify the best surgical approach for frail elderly patients with ankle fractures, improving their recovery and quality of life.
- What could go wrong
- This is a relatively small trial (172 participants) comparing two established procedures, so it may not find a clear winner. Results may not apply to all patients or settings.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
London Health Sciences Centre
RECRUITINGLondon, Ontario, N6A5W9, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a brace replace the cast for certain ankle fractures?
- Dissolving screws could spare ankle fracture patients a second surgery
- Could a single injection after ankle surgery ward off arthritis?
- Dissolvable screws could spare ankle fracture patients a second surgery